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Active NPI 1770020414 Individual Practitioner Male Practitioner

Gary Kniffin , LPN

Licensed Practical Nurse • Espanola, NM

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Gary Kniffin, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Espanola, NM. Official NPI practice address is registered at 208 GUACHPANGUE RD.

Practice Location & Contact Primary Location

Practice Address

208 Guachpangue Rd

Espanola, NM 875323424

Telephone 5057478187
Associated Practice Facility / Clinic
🏢 Una Ala Clinic, Inc Facility NPI 1609089408

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Espanola, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
8 Specialists

Practicing in Espanola, NM (173 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NM LPN22494

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners
Stephanie Long , RN

Registered Nurse - Addiction (Substance Use Disorder)

NPI 1124955398

Registered Nurse

Sarita Trujillo , RN

Registered Nurse

NPI 1154599009

Registered Nurse

Michael Zengerle

Counselor - Addiction (Substance Use Disorder)

NPI 1174175467
Melanie Trujillo , RN

Registered Nurse

NPI 1255881009

Registered Nurse

Selena Moya , LSAA

Counselor - Addiction (Substance Use Disorder)

NPI 1295698280
Rudy Brown , NURSE

Registered Nurse

NPI 1306078852

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 19, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 19, 2017

Registered at 208 GUACHPANGUE RD, ESPANOLA, NM 875323424 (Tel: 5057478187)

📍
Updated Business Mailing Address January 19, 2017

Registered at 208 GUACHPANGUE RD, ESPANOLA, NM 875323424 (Tel: 5057478187)

👤
Provider Name / Credentials Updated January 19, 2017

Recorded as GARY KNIFFIN, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2017

Licensed Practical Nurse (License #LPN22494 in NM)

🟢
Initial NPI Registration & Enumeration January 19, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770020414
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 19, 2017
Last Update: January 19, 2017
Sole Proprietor: No

Mailing Address

208 Guachpangue Rd

Espanola, NM 875323424

Phone: 5057478187

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.