MS. BERNADETTE DAYZIE CNP NPI 1245393032

NPI Information

NPI: 1245393032
Provider Name: MS. BERNADETTE DAYZIE, CNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
KEWA PUEBLO HEALTH CORPORATION
85 W HWY 22
SANTO DOMINGO PUEBLO, NM
ZIP 87052
Phone: (505) 465-3060
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MS. Bernadette Dayzie, CNP is a pediatrics nurse practitioner in Santo Domingo Pueblo, NM. MS. Bernadette Dayzie, CNP NPI is 1245393032. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

KEWA PUEBLO HEALTH CORPORATION
85 W HWY 22
SANTO DOMINGO PUEBLO, NM
ZIP 87052
Phone: (505) 465-3060

The NPI 1245393032 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 12/2/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	105014	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000Z7054	MEDICAID	NEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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