ERICA LANKENAU (NPI# 1891150108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891150108 |
| Entity Type | Individual |
| Full Name | ERICA LANKENAU |
| Credential | PA |
| Practice Address |
630 W Maple St Farmington NM 87401-6113 |
| Mailing Address |
Po Box 6210 Farmington NM 87499-6210 |
| Practice Telephone | 5056096300 |
| Practice Fax Number | 5056096301 |
| Mailing Telephone | 5056092258 |
| Mailing Fax Number | 5056092259 |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2016-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA2015-0082 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1130229 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
630 W MAPLE ST |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401-6113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619950326 | Markus E Garard | Orthopaedic Surgery | 630 W Maple St, Farmington, NM 87401-6113 | 2005-11-28 |
| 1679042410 | Theresa Rae Gent | Physician Assistant | 630 W Maple St, Farmington, NM 87401-6113 | 2018-11-23 |
| 1669820544 | Alison Yasuyo Krueger | Physician Assistant | 630 W Maple St, Farmington, NM 87401-6113 | 2016-06-01 |
| 1780024174 | Philip Keith Ernest | Surgery | 630 W Maple St, Farmington, NM 87401 | 2013-06-28 |
| 1104142215 | San Juan Regional Medical Center Inc | Surgery | 630 W Maple St, Farmington, NM 87401-6113 | 2010-04-14 |
| 1245485994 | Dwayne L Gibbs Md PC | Surgery | 630 W Maple St, Suite A, Farmington, NM 87401-6113 | 2008-11-21 |
| 1770734576 | James M Boyd | Surgery | 630 W Maple St, Farmington, NM 87401-6113 | 2008-10-10 |
| 1558571851 | Damon Kalcich | Surgery | 630 W Maple St, Farmington, NM 87401-6113 | 2007-05-23 |
| 1316073141 | Dwayne L Gibbs | Surgery | 630 W Maple St, Farmington, NM 87401-6113 | 2007-02-26 |
| 1508992355 | Melania Yeats | Surgery | 630 W Maple St, Farmington, NM 87401-6113 | 2007-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035192 | Jaylene Miller | Behavior Technician | 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 | 2020-08-28 |
| 1255940326 | John Andrew Martinez | Behavioral Analyst | 211 N Auburn, Farmington, NM 87401 | 2020-07-24 |
| 1598304990 | Chasitity Beulah Nez | Behavior Technician | 37 Rd 7101 #127, Farmington, NM 87401 | 2020-01-02 |
| 1205478575 | Micah Magee | Speech-Language Pathologist | Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 | 2019-10-08 |
| 1831659754 | Lelilah Todacheene | Social Worker | 1204 Camina Real, Farmington, NM 87401 | 2019-03-25 |
| 1306323555 | Litany of Life | Counselor | 1010 Ridgeway Place, Farmington, NM 87401 | 2018-07-20 |
| 1093291213 | Brittany Bigham | Nurse Practitioner | 1001 W Broadway Ste E, Farmington, NM 87401 | 2018-07-11 |
| 1528556305 | Hairoun Home Health | Home Health | 1200 East 20th Street, Farmington, NM 87401 | 2018-04-26 |
| 1003338732 | Silver Tongue Speech & Voice, LLC | Clinic/Center | 3001 Northridge Dr Ste C, Farmington, NM 87401 | 2017-07-14 |
| 1902256621 | Capacity Builders Inc | Taxi | 418 W Broadway, Farmington, NM 87401 | 2016-06-14 |
| Find all providers in zip 87401 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295845592 | George Juraj Sertic | Physician Assistant | 23843 Colchester St, Farmington, MI 48336-2415 | 2006-08-30 |
| 1023460789 | Alexandra Shaw | Physician Assistant | Uconn Medical Group, 263 Farmington Ave, Farmington, CT 06030-0001 | 2016-07-06 |
| 1225446842 | Abigail Guy | Physician Assistant | 263 Farmington Ave, Farmington, CT 06030-0001 | 2014-07-28 |
| 1093075038 | Sreelakshmi Reddivari | Physician Assistant | 263 Farmington Ave, General Surgery, Farmington, CT 06030-6227 | 2012-05-24 |
| 1922310135 | Ashley Nicole French | Physician Assistant | 263 Farmington Ave, General Surgery, Farmington, CT 06030-6227 | 2010-07-06 |
| 1083948574 | Karin M Koval | Physician Assistant | 263 Farmington Ave, Farmington, CT 06030-6227 | 2009-09-30 |
| 1205067519 | Isaac S Ball | Physician Assistant | 126 Middle St, Farmington, ME 04938-6937 | 2009-08-04 |
| 1811161938 | Mary Ellen Cerroni | Physician Assistant | 801 W Maple St, Farmington, NM 87401-5630 | 2008-04-18 |
| 1316003908 | Samuel W. Gaston | Physician Assistant | 263 Farmington Ave, Farmington, CT 06030-0001 | 2006-12-28 |
| 1750447355 | Jennifer L. Lardner | Physician Assistant | John Dempsey Hospital, 263 Farmington Avenue, Mc-1705, Farmington, CT 06030-0001 | 2006-12-28 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 87401 |
Please comment or provide details below to improve the information on ERICA LANKENAU.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.