MELANIE GANTNER (NPI# 1912952003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912952003 |
Entity Type | Individual |
Full Name | MELANIE GANTNER |
Credential | PA |
Practice Address |
540 Walton Blvd Ste C Las Cruces NM 88001-8433 |
Practice Telephone | 5755252700 |
Practice Fax Number | 5755242045 |
Mailing Telephone | 5755252700 |
Mailing Fax Number | 5755242045 |
Enumeration Date | 2006-05-24 |
Last Update Date | 2016-10-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA2004-0012 | NM | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
540 WALTON BLVD STE C |
City | LAS CRUCES |
State | NM |
Zip Code | 88001-8433 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316243736 | Shannon L Rodriguez | Clinical Nurse Specialist | 540 Walton Blvd, Suite C, Las Cruces, NM 88001-8433 | 2011-02-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760020044 | Three Crosses Regional Hospital LLC | General Acute Care Hospital | 2560 Samaritan Drive, Las Cruces, NM 88001 | 2019-12-17 |
1760961908 | Halcyon Health of The Southwest, LLC | Nurse Practitioner | 1355 California Ave Ste B, Las Cruces, NM 88001 | 2018-08-08 |
1255818530 | Lago Claro, LLC | Counselor | 2410 S. Espina St, Las Cruces, NM 88001 | 2018-07-19 |
1407371818 | Elijah Daniel Perez | Behavior Technician | 1535 Myrtle Ave, Las Cruces, NM 88001 | 2017-08-07 |
1982128641 | Krystal Marie Ruiz | Psychologist | 505 S. Main, Ste. 249, Las Cruces, NM 88001 | 2017-08-03 |
1457886913 | Mathew Petersen Dds PC | Dentist | 2001 E. Lohman Ave. Suite 121, Las Cruces, NM 88001 | 2017-04-21 |
1801343439 | Celia Holmes | Registered Nurse | 505 S Main, Ste 249, Las Cruces, NM 88001 | 2016-09-01 |
1427420223 | Sara Guidetti | Family Medicine | 3080 Breland Drive, Las Cruces, NM 88001 | 2015-10-20 |
1679987234 | Maria De Jesus Martinez | Nurse Practitioner | 1170 N. Solano Ste A, Las Cruces, NM 88001 | 2014-06-11 |
1851701494 | Viola E Garcia | Case Manager/Care Coordinator | 100 W Griggs, Las Cruces, NM 88001 | 2014-05-05 |
Find all providers in zip 88001 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164978540 | Deborah L Thorne | Physician Assistant | 111 W Lucero Ave Ste 6, Las Cruces, NM 88005-1829 | 2016-08-26 |
1720445562 | Rebecca Gahan Brown | Physician Assistant | 150 N Roadrunner Pkwy, Las Cruces, NM 88011 | 2016-01-25 |
1508232240 | Edward R Watson | Physician Assistant | 2530 S Telshor Blvd Ste 207, Las Cruces, NM 88011-4975 | 2015-08-17 |
1114385069 | Katelyn Przybyszewski | Physician Assistant | 4371 E Lohman Ave, Las Cruces, NM 88011-8255 | 2016-02-08 |
1164824306 | Rebecca Burrington | Physician Assistant | 3530 Foothills Rd, Las Cruces, NM 88011 | 2014-09-18 |
1346541448 | Robert Wayne Fakler Jr. | Physician Assistant | 4351 E Lohman Ave Ste 204, Las Cruces, NM 88011-8260 | 2010-11-05 |
1518935105 | Jilana Gladstone | Physician Assistant | 4371 E Lohman Ave, Las Cruces, NM 88011-8255 | 2006-03-09 |
1568455616 | Reagan R. Dunnahoo | Physician Assistant | 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 | 2005-08-24 |
1528064060 | Susan Faythe Gowing | Physician Assistant | 4351 E Lohman Ave, Suite 405, Las Cruces, NM 88011-8259 | 2005-06-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386284602 | Christopher Whorley | Physician Assistant | 4683 Idlewilde Ln Se, Albuquerque, NM 87108-3421 | 2020-01-15 |
1053836809 | Alysha Gallegos | Physician Assistant | 6112 Molinero Ct Sw, Albuquerque, NM 87105-6814 | 2017-08-13 |
1134572738 | Weston Bradley Graff | Physician Assistant | 703 Christopher Dr, Belen, NM 87002-2617 | 2016-07-19 |
1295194629 | Ryan Grange | Physician Assistant | 1851 Old Highway 66 Unit 1, Edgewood, NM 87015 | 2016-02-12 |
1306225180 | Allison Rose Crossey | Physician Assistant | 201 Cedar Street Se, Suite 6600, Albuquerque, NM 87106 | 2015-05-26 |
1528452208 | Taylor Bottari | Physician Assistant | 208 W Dl Ingram, Cannon Afb, NM 88103 | 2015-03-20 |
1336543115 | Pamela O Black Md, P.a., Dba Quadra Health Institute | Physician Assistant | 3820 Commons Ave Ne # M, Albuquerque, NM 87109-5831 | 2014-10-22 |
1396155206 | Jennifer Brynn Bendokas | Physician Assistant | 224 West Dl Ingram Avenue, Cannon Afb, NM 88103 | 2014-04-30 |
1760771067 | Kristal Anguiano | Physician Assistant | 2010 Industrial Park Rd., El Centro Family Health, Espanola, NM 87532-3600 | 2011-04-07 |
1598065484 | Amber J Stoll | Physician Assistant | 303 West Country Club Rd., Roswell, NM 88201 | 2010-10-26 |
Find all providers with the same taxonomy |
City | LAS CRUCES |
Zip Code | 88001 |
Please comment or provide details below to improve the information on MELANIE GANTNER.
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.