Melissa Anne Gzaskow, RN, LMT

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R58980 Issued in NM

Practice address

66 Avenida Aldea
Santa Fe, NM 87507-9449

Phone

(505) 795-7111

NPI assigned

Nov 19, 2015

Last updated

Nov 19, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1598139115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 AVENIDA ALDEA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875079449",
            "telephone_number": "505-795-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 AVENIDA ALDEA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875079449",
            "telephone_number": "505-795-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GZASKOW",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "credential": "RN, LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-19",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "R58980",
            "primary": true
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "NM",
            "license": "R58980",
            "primary": false
        },
        {
            "code": "163WM1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
            "state": "NM",
            "license": "2770",
            "primary": false
        },
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "NM",
            "license": "R58980",
            "primary": false
        },
        {
            "code": "163WX0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Oncology",
            "state": "NM",
            "license": "R58980",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Gutierrez
• Jacob Paul Gutierrez,BMS
• Gregory Donald Gutin, LPCC
• Jessica L Guzman, RECEPTIONIST
• Marshia Gyuricz, RN
• Elizabeth Haagenstad, PROFESSIONAL (LMHC)
• Meghan Haarmann
• Jason Hackler
• Melanie Hackworth
• Marianne Laura Hafer, DOM

• Registered Nurse in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.