Kimberly Allen, | |
1010 Spruce St, Espanola, NM 87532-2724 | |
(505) 753-7111 | |
Not Available |
Full Name | Kimberly Allen |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 1010 Spruce St, Espanola, New Mexico |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033640263 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | CNP03174 (New Mexico) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Phoenix Indian Medical Center | Phoenix, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dhew Ind Hlth Sv Hlth Svs And Mntl Hlth Adm | 1759290901 | 182 |
Entity Name | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083643738 PECOS PAC ID: 1759290901 Enrollment ID: O20031105000797 |
Mailing Address | Practice Location Address |
---|---|
Kimberly Allen, 115 Valley Dr, Santa Fe, NM 87501-1163 Ph: () - | Kimberly Allen, 1010 Spruce St, Espanola, NM 87532-2724 Ph: (505) 753-7111 |
Bailey Pearson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1010 Spruce St, Espanola, NM 87532 Phone: 505-367-0340 | |
Mr. Stephen Lynn Mason, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 N Paseo De Onate, Espanola, NM 87532 Phone: 505-747-0081 | |
Dr. Keith Bryan Haynie, DNP, RN, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 206 S Coronado Ave, Espanola, NM 87532 Phone: 860-788-6404 Fax: 860-398-6441 | |
Jonathan C Peachey, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1010 Spruce St, Espanola Hospital, Espanola, NM 87532 Phone: 505-753-7111 Fax: 505-753-4438 | |
Leticia A Luketich Martinez, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2010 Industrial Park Rd, Espanola, NM 87532 Phone: 505-753-7218 Fax: 505-747-7396 | |
Tiffin Marie Zellers, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1308 N Orchard, Espanola, NM 87532 Phone: 505-927-0157 Fax: 855-928-4040 |