Tina Dunlap, FNP-C
Individual provider Active NPI Primary Care Nurse Practitioner · Kirtland Afb, NM
NPI 1558040725 · NPPES record last updated May 8, 2026
Key facts
- NPI
- 1558040725
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- 1128464 (TX)
- Practice address
- 2050A 2ND St SE
Kirtland Afb, NM 87117-5901 - Phone
- (505) 846-3200
- NPI assigned
- Jul 14, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 1128464 | TX | MD | Primary Care Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 1128464 | TX | Yes |
Addresses
Primary practice location
2050A 2ND St SE
Kirtland Afb, NM 87117-5901
Mailing address
221 3Rd St W
Randolph Afb, TX 78150-4800
Other providers in Kirtland Afb, NM
- Marco Corda
- Michael Raymond Craddock
- Rachel Jane Darnell-Miller
- Kirsten Elizabeth Delambo
- Alan K Dunaway
- Benton Dwight
- Kenneth Egerstrom
- Antonio J. Eppolito
- Anna Vladimirovna Fedotova
- Steven C. Fenzl
All providers in Kirtland Afb, NM · Primary Care Nurse Practitioner 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 May 8, 2026. 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.