Karen Griest
Individual provider Active NPI General Practice Physician · Cedar Crest, NM
NPI 1033568902 · NPPES record last updated Jun 10, 2016
Key facts
- NPI
- 1033568902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 86-239 (NM)
- Practice address
- 68 Pinon TRL
Cedar Crest, NM 87008-9444 - Phone
- (505) 228-5550
- NPI assigned
- Jun 10, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86-239 | NM | MD | General Practice Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 86-239 | NM | Yes |
Addresses
Primary practice location
68 Pinon TRL
Cedar Crest, NM 87008-9444
Mailing address
68 Pinon TRL
Cedar Crest, NM 87008-9444
Phone (505) 228-5550
Other providers in Cedar Crest, NM
- Fowler Enterprises Inc.
- Cheryl W Fowler
- Katherine Freeman Croft
- Madisyn Elizabeth Garcia
- Roger Wesley Gildersleeve
- Amanda Grundstrom
- Brandi Joe Guevara
- Dana Marie Hanna
- Nadia K Heffner
- Roddy Henrie
All providers in Cedar Crest, NM · General Practice Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.