Barbara A. Gilmore, APRN, NP

Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Santa Fe, NM

NPI 1891710083 · NPPES record last updated Nov 19, 2015

Key facts

NPI
1891710083
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License
CNP00789 (NM)
Practice address
2960 Rodeo Park Dr W
Santa Fe, NM 87505-6351
Phone
(505) 986-9633
Fax
(505) 820-1209
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Nurse Specialist, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Barbara a. Gilmore, PMH, NP, BC Past
since Feb 7, 2010
Accepting new patients
Southern New Mexico Human Development, Inc. Past Accepting new patients
Las Cruces Behavioral Medicine Associates, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R36659 NM
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP00789 NM Yes

Addresses

Primary practice location

2960 Rodeo Park Dr W
Santa Fe, NM 87505-6351

Mailing address

2960 Rodeo Park Dr W
Santa Fe, NM 87505-6351
Phone (505) 986-9633

Other identifiers

IdentifierTypeStateIssuer
36024538MedicaidNM

Other providers in Santa Fe, NM

All providers in Santa Fe, NM · Psychiatric/Mental Health Nurse Practitioner in New Mexico

Sources for this page

Verify at the official NPI Registry.