Koryn Kiesling Michaud is a Primary Care Nurse Practitioner practicing in Albuquerque, New Mexico. The National Provider Identifier (NPI) is #1750781316, which was assigned on September 1, 2014, and the registration record was last updated on October 10, 2025. The practitioner's main practice location is at 7850 Jefferson St Ne Ste 300, Albuquerque, NM 87109-4314; the contact telephone number is 5058841114, and the fax number is 5058843004. The primary taxonomy of Koryn Kiesling Michaud is Primary Care Nurse Practitioner (363LP2300X), with specialization in Primary Care. Koryn Kiesling Michaud is licensed to practice in the state of New Mexico (#53742), New Mexico (#53742).
| NPI | 1750781316 |
| Entity Type | Individual |
| Provider Name | KORYN KIESLING MICHAUD |
| Gender | Female |
| Credential | FNP-C |
| Practice Address |
7850 Jefferson St Ne Ste 300 Albuquerque NM 87109-4314 |
| Practice Telephone | 5058841114 |
| Practice Fax Number | 5058843004 |
| Mailing Address |
7850 Jefferson St Ne Ste 300 Albuquerque NM 87109-4314 |
| Mailing Telephone | 5058841114 |
| Mailing Fax Number | 5058843004 |
| Certification Date | 2025-10-10 |
| Enumeration Date | 2014-09-01 |
| Last Update Date | 2025-10-10 |
| Is Sole Proprietor | N |
| PAC ID |
7113279696 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | KORYN K MICHAUD |
| Primary Specialty | NURSE PRACTITIONER |
| Organization Legal Name | SAGE NEUROSCIENCE CENTER INC |
| Address |
7850 Jefferson St Ne Suite 300 Albuquerque NM 87109-4314 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| N | 363LP0808X | Nurse Practitioner | Psychiatric/Mental Health | 53742 | NM | |
| Y | 363LP2300X | Nurse Practitioner | Primary Care | 53742 | NM |
| Other Identifier | Issuing State | Issuer | Identifier Type |
|---|---|---|---|
| 10728571 | NM | MEDICAID | |
| 1617165 | CO | UNKNOWN | Other |
| Code | 363LP2300X |
| Taxonomy | Primary Care Nurse Practitioner |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: Definition to come... |
| Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| Classification | Nurse Practitioner |
| Specialization | Psychiatric/Mental Health |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: Definition to come... |
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|---|---|---|---|
| Kizzie Dike | 6565 Fannin St, Houston, TX 77030-2703 | Primary Care Nurse Practitioner | 2026-06-03 |
| Luke David Altstiel | 2140 Junction Ave, Sturgis, SD 57785-2358 | Primary Care Nurse Practitioner | 2026-06-04 |
| Jennifer Martin | 135 Monroe Ave, Watertown, NY 13601-3020 | Primary Care Nurse Practitioner | 2026-06-04 |
| Jonathan Reynolds | 44045 Margarita Rd Ste 103, Temecula, CA 92592-2729 | Primary Care Nurse Practitioner | 2026-06-03 |
| Ayrin Napoles | 11910 Sw 3rd St, Miami, FL 33184-1608 | Primary Care Nurse Practitioner | 2026-06-03 |
| Sarah Bizzu Ageno | 411 Bunny Run Blvd, Lake Orion, MI 48362-1807 | Primary Care Nurse Practitioner | 2026-06-03 |
| Roberto Arturo Echegoyen | 1221 N Swift Rd, Addison, IL 60101-6105 | Primary Care Nurse Practitioner | 2026-06-05 |
| Cindy Vasiu | 800 E Lancaster Ave, Villanova, PA 19085-1478 | Primary Care Nurse Practitioner | 2026-06-05 |
| Starrae Health LLC | 1720 W Horizon Ridge Pkwy Ste 110, Henderson, NV 89012-4896 | Primary Care Nurse Practitioner | 2026-06-04 |
| Beyond Beauty Primary Care & Wellness | 11704 Washington Green Rd, Louisville, KY 40229-5533 | Primary Care Nurse Practitioner | 2026-06-02 |
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| Street Address |
7850 JEFFERSON ST NE STE 300 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-4314 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Sage Substance Use Services | 7850 Jefferson St Ne Ste 300, Albuquerque, NM 87109-4314 | Addiction Medicine (Psychiatry & Neurology) Physician | 2022-09-19 |
| Gregory Lindberg | 7850 Jefferson St Ne Ste 300, Albuquerque, NM 87109-4314 | Addiction (Substance Use Disorder) Counselor | 2022-06-17 |
| Crystal Thomsen | 7850 Jefferson St Ne Ste 300, Albuquerque, NM 87109-4314 | Addiction (Substance Use Disorder) Counselor | 2023-05-23 |
| Jennifer Clysdale | 7850 Jefferson St Ne Ste 300, Albuquerque, NM 87109-4314 | Psychiatric/Mental Health Nurse Practitioner | 2024-01-23 |
| Petra Dzenyuy Lamla-Laban | 7850 Jefferson St Ne Ste 300, Albuquerque, NM 87109-4314 | Addiction Psychiatry Physician | 2023-01-02 |
| Linsey Patterson | 7850 Jefferson St Ne Ste 300, Albuquerque, NM 87109-4314 | Social Worker | 2023-04-05 |
| Kevin Field | 7850 Jefferson St Ne Ste 300, Albuquerque, NM 87109-4314 | Physician Assistant | 2022-06-12 |
| Sage Primary Care Clinic | 7850 Jefferson St Ne Ste 300, Albuquerque, NM 87109-4314 | Endocrinology, Diabetes & Metabolism Physician | 2022-09-23 |
| William Daniel Mcandrew | 7850 Jefferson St Ne Ste 300, Albuquerque, NM 87109-4314 | Clinical Social Worker | 2012-09-12 |
| Jacqueline Pena | 7850 Jefferson St Ne Ste 300, Albuquerque, NM 87109-4314 | Student in an Organized Health Care Education/Training Program | 2025-08-04 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Tamara Marie Abousleman | 7850 Jefferson St Ne, Ste 300, Albuquerque, NM 87109-4314 | Mental Health Counselor | 2007-02-28 |
| Leah A Rudnick | 7850 Jefferson St Ne, Ste 300, Albuquerque, NM 87109-4314 | Psychiatry Physician | 2006-07-30 |
| Stephanie C Lopez | 7850 Jefferson St Ne Ste 301, Albuquerque, NM 87109-4314 | Pharmacist | 2009-09-02 |
| Genoa Healthcare LLC | 7850 Jefferson St Ne Ste 301, Albuquerque, NM 87109-4314 | Durable Medical Equipment & Medical Supplies | 2015-08-27 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Isabel Cruz Gastelum | Attn: Behavioral Health Works 100 Sun Avenue N.E., Suite 650, Albuquerque, NM 87109 | Behavior Technician | 2021-11-30 |
| Natacha Bonano Rivera | Attn: Behavioral Health Works 100 Sun Ave Ne, Suit 650, Albuquerq, NM 87109 | Behavior Technician | 2022-06-10 |
| Jan Emmanuel Anthony Empleo Jorgio | 4404 Montgomery Blvd Ne, Albuquerque, NM 87109 | Registered Nurse | 2022-06-01 |
| Mountain Path Acupuncture and Chinese Medicine, LLC | 7820 Pan American Fwy Ne, Ste 3, Albuquerque, NM 87109 | Acupuncturist | 2022-02-09 |
| Clarissa Hastings | 7447 Bartlett Ne, Suite 1c, Albuquerque, NM 87109 | Mental Health Counselor | 2024-06-05 |
| Jordan Magnuson | Attn: Behavioral Health Works 100 Sun Avenue, N.E. Suite 650, Albuquerque, NM 87109 | Behavior Technician | 2021-05-10 |
| Yesenia Pedroza · Yesenia Beltran | Address: 7027 Montgomery Blvd Ne, Suite F, Albuquerque, NM 87109 | Mental Health Counselor | 2026-05-11 |
| Vanessa Dunning | 7520 Montgomery Blvd Ne Suite E12, Albuquerque, NM 87109 | Dental Hygienist | 2022-02-09 |
| Diego Gonzalez Md PC | 4630 Jefferson Lane Ne, Suite C, Albuquerque, NM 87109 | Rehabilitation Clinic/Center | 2026-04-22 |
| Samana Tasnim | 5001 Montgomery Blvd Northeast, Albuquerque, NM 87109 | Pharmacist | 2021-08-18 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Hannah Michaud | 3140 Green Valley Rd, Cheyenne, WY 82001-6123 | Home Health Agency | 2026-03-10 |
| Koryn Lynn Brown | 415 Medical Dr Ste A100, Bountiful, UT 84010-4995 | Behavior Technician | 2026-04-16 |
| Koryn Susie Jara | 1180 Third Ave Ste C4, Chula Vista, CA 91911-3139 | Addiction (Substance Use Disorder) Counselor | 2026-04-10 |
| Jennifer L Michaud | 1765 Route 25, Rumney, NH 03266-3341 | Mental Health Counselor | 2025-04-18 |
| Chamonix Michaud | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | Student in an Organized Health Care Education/Training Program | 2026-06-03 |
| Sarah Diane Michaud | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | Emergency Medicine Physician | 2026-04-27 |
| Brianna Michaud | 3100 E Fletcher Ave, Tampa, FL 33613-4613 | Certified Registered Nurse Anesthetist | 2026-04-06 |
| Kimberly Michaud | 24740 Paseo Primario, Calabasas, CA 91302-3071 | Counselor | 2026-05-14 |
| Andrea Michaud | 295 S Chipeta Way, Salt Lake City, UT 84108-1287 | Registered Nurse | 2026-03-19 |
| Marion Michaud | 83 Cleveland Road, Saint Agatha, ME 04772-0214 | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 2009-11-20 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |