| Robben R. Gingery, Md, Llc | |
|
3188 Southern Blvd Se Suite B1 Rio Rancho NM 87124-1990 | |
| (505) 200-9158 | |
| (505) 200-9497 |
| Full Name | Robben R. Gingery, Md, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3188 Southern Blvd Se, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Robben R Gingery (OWNER) |
| Authorized Official Contact | 5052009158 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robben R. Gingery, Md, Llc 3188 Southern Blvd Se Suite B1 Rio Rancho NM 87124-1990 Ph: (505) 200-9158 | Robben R. Gingery, Md, Llc 3188 Southern Blvd Se Suite B1 Rio Rancho NM 87124-1990 Ph: (505) 200-9158 |
| NPI Number | 1033527015 |
|---|---|
| Provider Enumeration Date | 07/23/2014 |
| Last Update Date | 06/15/2022 |
| Certification Date | 06/15/2022 |
| Medicare PECOS PAC ID | 0042514242 |
|---|---|
| Medicare Enrollment ID | O20160209001273 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033527015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 91-207 (New Mexico) | Primary |
| Provider Name | Robben R Gingery |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1255422101 PECOS PAC ID: 2163403767 Enrollment ID: I20040528000708 |
| Provider Name | Wendee K Burnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750425344 PECOS PAC ID: 8224121645 Enrollment ID: I20070830000539 |
| Provider Name | Cheryl D Jensen-deloia |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306062427 PECOS PAC ID: 2961658992 Enrollment ID: I20120807000907 |
| Provider Name | Lynnette Gail Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871569509 PECOS PAC ID: 5597715276 Enrollment ID: I20120904000492 |
| Provider Name | Justin Richard White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538307897 PECOS PAC ID: 1456503218 Enrollment ID: I20130823000705 |
| Provider Name | Margaret J Hrvatin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619353679 PECOS PAC ID: 7012224264 Enrollment ID: I20150921000857 |
| Provider Name | Steven F Winkle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942302591 PECOS PAC ID: 2769537232 Enrollment ID: I20161021001064 |
| Provider Name | Decy Devere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720211568 PECOS PAC ID: 5991841579 Enrollment ID: I20161021001738 |
| Provider Name | Karola Loos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497015069 PECOS PAC ID: 3375822943 Enrollment ID: I20161123000086 |
| Provider Name | Jocelyn Fiaschetti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760896203 PECOS PAC ID: 5799061347 Enrollment ID: I20170413001019 |
| Provider Name | Fallon Laws Gravely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417380700 PECOS PAC ID: 5294012845 Enrollment ID: I20170508002507 |
| Provider Name | Maria Lynn Spangler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013433192 PECOS PAC ID: 4183999840 Enrollment ID: I20171005000534 |
| Provider Name | Mary Louise Blankenship |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356358477 PECOS PAC ID: 1759270770 Enrollment ID: I20180504001349 |
| Provider Name | Sandra Denise Hobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477188134 PECOS PAC ID: 5890126932 Enrollment ID: I20200506000024 |
| Provider Name | Lindsey Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417538638 PECOS PAC ID: 2466842836 Enrollment ID: I20211130001028 |
| Provider Name | Ethan Blackney-lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619697570 PECOS PAC ID: 6901273531 Enrollment ID: I20221110000814 |
| Provider Name | Rebeccah S Lyles |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659066512 PECOS PAC ID: 4082073911 Enrollment ID: I20230710002355 |
| Provider Name | Eric J Chavez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992092704 PECOS PAC ID: 1951533892 Enrollment ID: I20231124000375 |
| Provider Name | Jennifer Lee Fiordelisi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215254123 PECOS PAC ID: 5890143135 Enrollment ID: I20231128001678 |
| Provider Name | Sheena Bachelor-evridge |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780740100 PECOS PAC ID: 7416188677 Enrollment ID: I20240102001845 |
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