Provider Demographics
NPI:1760016174
Name:BASHTON, TRANON (PHD)
Entity type:Individual
Prefix:DR
First Name:TRANON
Middle Name:
Last Name:BASHTON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 MONTERREY RD NE
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87144-1584
Mailing Address - Country:US
Mailing Address - Phone:505-644-0685
Mailing Address - Fax:505-557-1156
Practice Address - Street 1:1500 MONTERREY RD NE
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87144-1584
Practice Address - Country:US
Practice Address - Phone:505-644-0685
Practice Address - Fax:505-557-1156
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-25
Last Update Date:2025-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM251E00000X, 310400000X, 171M00000X
246QH0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No251E00000XAgenciesHome Health
No246QH0401XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyHemapheresis Practitioner
No171M00000XOther Service ProvidersCase Manager/Care Coordinator