Carol-jean Hennessy (NPI# 1700825684, PAC ID# 0345335592) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1700825684 |
| PAC ID by PECOS | 0345335592 |
| Professional Enrollment ID | I20170425001081 |
| Full Name | Carol-jean Hennessy |
| Organization Legal Name | EL CENTRO FAMILY HEALTH |
| Address |
711 Bond St Espanola NM 87532-2729 |
| Phone Number | 5057539503 |
| Gender | F |
| Graduation Year | 1995 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9830080688 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 320011 | PRESBYTERIAN ESPANOLA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2010 Industrial Park Rd, Espanola, NM 87532-3600 | 5057537395 | EL CENTRO FAMILY HEALTH |
| 711 Bond St, Espanola, NM 87532-2729 | 5057539503 | EL CENTRO FAMILY HEALTH |
| Organization Legal Name | EL CENTRO FAMILY HEALTH |
| Physicians | 43 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Scott | Physician Assistant | El Centro Family Health | 502 4th St, Springer Clinic, Springer, NM 87747-0487 |
| Cheryl Hall | Physician Assistant | El Centro Family Health | 2243, Embudo, NM 87531-0098 |
| Sandra W Whitney | Nurse Practitioner | El Centro Family Health | 604 Catron Ave, Wagon Md Clinic, Wagon Mound, NM 87752-0063 |
| Leigh A Trivino | Physician Assistant | El Centro Family Health | 901 Baca Ave, Las Vegas, NM 87701-4000 |
| David N Gould | Physician Assistant | El Centro Family Health | 15136 State Hwy 75, Penasco Clinic, Penasco, NM 87553-0238 |
| Tracey E Garcia | Clinical Social Worker | El Centro Family Health | 2010 Industrial Park Rd, Espanola, NM 87532-3600 |
| Mary M Laumbach | Nurse Practitioner | El Centro Family Health | 555 Wagon Mound Hwy, Roy Clinic, Roy, NM 87743-0148 |
| Alfredo R Vigil | Family Medicine | El Centro Family Health | 1331 Gusdorf Rd, Taos, NM 87571-0516 |
| Christopher Alliman | Family Medicine | El Centro Family Health | 275 New Mexico 3 Bldg, 2 San Miguel Clinic, Ribera, NM 87560-0277 |
| Ann N Smith | Nurse Practitioner | El Centro Family Health | 3396 State Rd, Suite 96, Coyote, NM 87012-9712 |
| Street Address |
711 BOND ST |
| City | ESPANOLA |
| State | NM |
| Zip | 87532-2729 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia A Comly-van Andel | Family Medicine | El Centro Family Health | 711 Bond St, Espanola, NM 87532-2729 |
| Brent J Van Andel | Family Medicine | El Centro Family Health | 711 Bond St, Espanola, NM 87532-2729 |
| Terry Waters | Nurse Practitioner | El Centro Family Health | 711 Bond St, Espanola, NM 87532-2729 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arjan K Khalsa | Chiropractic | 509 W Pueblo Dr, Espanola, NM 87532-2508 | |
| Catherine L Veilleux | Nurse Practitioner | 509 W Pueblo Dr, Espanola Advanced Center, Espanola, NM 87532-2508 | |
| Roger Cook | Family Medicine | Espanola Sports Medicine Pa | 708 La Joya St, Espanola, NM 87532-2511 |
| Linda M. Garcia-lucero | Nurse Practitioner | Espanola Sports Medicine Pa | 708 La Joya St, Espanola, NM 87532-2511 |
| Mustapha K Abouda | Family Medicine | Espanola Sports Medicine Pa | 708 La Joya St, Espanola, NM 87532-2511 |
| Matthew W Mckinley | Orthopedic Surgery | Espanola Sports Medicine Pa | 708 La Joya St, Espanola, NM 87532-2511 |
| John M Fox | Chiropractic | 628 Riverside Dr, Suite C, Espanola, NM 87532-2620 | |
| Salim Bohsali | Chiropractic | 234 N Paseo De Onate, Espanola, NM 87532-2623 | |
| Kimberly Allen | Nurse Practitioner | Presbyterian Healthcare Services | 1010 Spruce St, Espanola, NM 87532-2724 |
| Michael D Wagner | Pulmonary Disease | Presbyterian Healthcare Services | 1010 Spruce St, Espanola, NM 87532-2724 |
| Find all physicians in zip 87532 | |||
| City | ESPANOLA |
| Zip Code | 87532 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ESPANOLA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Carol-jean Hennessy.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.