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KORI TAYLOR GANDARA DO
NPI 1366296980
Student in an Organized Health Care Education/Training Program in Las Cruces, NM

Active since April 11, 2024PECOS Enrolled
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011(575) 521-5370 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 12, 2024, Apr 11, 2024 (2 updates tracked since 2024).

About Kori Taylor Gandara Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KORI TAYLOR GANDARA DO (NPI 1366296980) is an individual student in an organized health care education/training program in Las Cruces, New Mexico, licensed in New Mexico (RS2024-0261) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366296980
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKORI TAYLOR GANDARACredential: DO
Location Address2450 S TELSHOR BLVDLas Cruces, NM 88011-5069
Mailing Address2450 S Telshor BlvdLas Cruces, NM 88011-5069
Phone(575) 521-5370
Sole ProprietorNo
Enumeration DateApril 11, 2024
Last NPPES UpdateSeptember 12, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2024
✔ NPI 1366296980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in NM · RS2024-0261
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2450 S TELSHOR BLVD, Las Cruces, NM 88011
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kori Taylor Gandara Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEMORIAL MEDICAL CENTER
Family Medicine
2450 S TELSHOR BLVD
LAS CRUCES, NM 88011
Doña Ana County (575) 521-5385
NOWSHIN SULTANA
Student in an Organized Health Care Education/Training Program
2450 S TELSHOR BLVD
LAS CRUCES, NM 88011
Doña Ana County (575) 521-5370
MEMORIAL MEDICAL CENTER
Family Medicine
2450 S TELSHOR BLVD
LAS CRUCES, NM 88011
Doña Ana County (575) 521-5385
SHIVANI SHARMA MD
Family Medicine
2450 S TELSHOR BLVD
LAS CRUCES, NM 88011
Doña Ana County (575) 556-6489
DR. SUSAN DIANE THOMAS M.D.
Family Medicine
2450 S TELSHOR BLVD
LAS CRUCES, NM 88011
Doña Ana County (505) 521-5381
HEALOGICS SPECIALTY PHYSICIANS OF NEW MEXICO, LLC
Preventive Medicine (Undersea and Hyperbaric Medicine)
2450 S TELSHOR BLVD
LAS CRUCES, NM 88011
Doña Ana County (904) 446-3451
BRIAN K LAM MD
Student in an Organized Health Care Education/Training Program
2450 S TELSHOR BLVD
LAS CRUCES, NM 88011
Doña Ana County (575) 522-8641
DR. TODD LEROY LUCAS M.D.
Emergency Medicine
2450 S TELSHOR BLVD
LAS CRUCES, NM 88011
Doña Ana County (706) 354-5770

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kori Gandara's NPI number?

The NPI number for Kori Gandara is 1366296980. It was assigned to this individual provider in the NPPES registry on April 11, 2024.

Where is Kori Gandara located?

Kori Gandara practices at 2450 S Telshor Blvd, Las Cruces, NM 88011. The listed phone number is (575) 521-5370.

What is Kori Gandara's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kori Gandara enrolled in Medicare?

Yes. Kori Gandara is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kori Gandara was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.