Wabanang Gaiashkibos Kuczek, MPH, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA2003-0044 Issued in NM

Practice address

1600 Saint Michaels Dr
Santa Fe, NM 87505-7615

Phone

(505) 473-6918

Fax

(505) 473-6467

NPI assigned

Jul 17, 2006

Last updated

Jul 8, 2007By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841217403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CLOUD MARCH E",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875062171",
            "telephone_number": "505-989-1893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SAINT MICHAELS DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057615",
            "telephone_number": "505-473-6918",
            "fax_number": "505-473-6467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCZEK",
        "first_name": "WABANANG",
        "middle_name": "GAIASHKIBOS",
        "name_prefix": "Mrs.",
        "credential": "MPH, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NM",
            "license": "PA2003-0044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Krispinsky, M.D.
• Kristen L. Biggs, MD, Skin Care & Vein Centre, PC
• Kristi Kennen Inc
• Robert E. Kristy, MSW, MA
• Victoria Morgan Kucek, PAA
• Rebecca Kudlaty
• Kristen Kuester, LMT CERTIFIED ROLFER
• Frederick M Kullman, M.D.
• Kumara Hampton Therapy, LLC
• Beverly Kune, LPCC, LMT

• Medical Physician Assistant in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Medical Physician Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.