MEDICARE: DR. KRISTEAN PORTER THORPE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	TRN10143	FL
2	207V00000X	Obstetrics & Gynecology Physician	MD2010-0196	NM
3	207V00000X	Obstetrics & Gynecology Physician	80105	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MD2010-0196	OTHER	NM	MEDICAL BOARD

General Provider Information

NPI Number	:	1518040476
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KRISTEAN PORTER THORPE M.D.

Provider Business Mailing Address
First Line	:	PO BOX 844088
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-4088
Country	:	US
Telephone Number	:	505-609-2258
Fax Number	:	505-609-2259

Provider Business Practice Location Address
First Line	:	610 W. PINON ST.
Second Line	:
City	:	FARMINGTON
State	:	NM
Zip	:	87401
Country	:	US
Telephone Number	:	505-325-1123
Fax Number	:	505-325-3054

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	05/27/2026

Similar Medicare Providers

1679318844 — SPENCER WILLIAM HALVORSON
Practice Location Address:

2300 E 30TH ST STE 101
FARMINGTON, NM
87401-8990

Practice Phone: 505-208-6280
Practice Fax:

1396692935 — BASIN PALLIATIVE CARE INC
Practice Location Address:

110 E ARRINGTON ST
FARMINGTON, NM
87401-6910

Practice Phone: 505-325-8231
Practice Fax: 505-325-4516

1336986280 — ASHLEE WOOD
Practice Location Address:

2301 E 20TH ST
FARMINGTON, NM
87401-8905

Practice Phone: 866-273-2451
Practice Fax: 866-608-5560

1114763422 — MADISON PARIS WIMBISH CPSW, CCSS, LSAA
Practice Location Address:

653 W ARRINGTON ST
FARMINGTON, NM
87401-8513

Practice Phone: 505-564-3733
Practice Fax:

1316573884 — HEATHER L GARDENHIRE BA, LMT
Practice Location Address:

724 W ANIMAS ST
FARMINGTON, NM
87401-5617

Practice Phone: 505-793-1760
Practice Fax:

1144152844 — ANITA BERRYHILL
Practice Location Address:

653 W ARRINGTON ST
FARMINGTON, NM
87401-8513

Practice Phone: 505-564-3733
Practice Fax: 505-324-1051

Directions to “ DR. KRISTEAN PORTER THORPE M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.