CLARISSA JUAREZ, LLC (NPI# 1013524727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013524727 |
| Entity Type | Organization |
| Organization Name | CLARISSA JUAREZ, LLC |
| Practice Address |
3900 Juan Tabo Blvd Ne Ste 4 Albuquerque NM 87111-3978 |
| Mailing Address |
1135 Paseo Corazon Santa Fe NM 87507-3636 |
| Practice Telephone | 2077563073 |
| Mailing Telephone | 2077563073 |
| Enumeration Date | 2020-09-26 |
| Last Update Date | 2020-09-26 |
| Authorized Official Name | CLARISSA JUAREZ (OWNER) |
| Authorized Official Telephone | 2077563073 |
| Authorized Official Credential | CNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3900 JUAN TABO BLVD NE STE 4 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87111-3978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417438110 | Dehlen LLC | Counselor | 11000 Spain Rd Ne, Building E, Albuquerque, NM 87111 | 2018-08-22 |
| 1003313008 | Jessika Junick | Nurse Practitioner | 3825 Eubank Blvd Ne Ste A, Albuquerque, NM 87111 | 2018-04-07 |
| 1881113454 | Hayley Aragon-bell | Day Training/Habilitation Specialist | 3732 Mount Rainier Dr. Ne, Albuquerque, NM 87111 | 2017-09-14 |
| 1750803326 | Sarah Mckenzie Ochoa | Day Training/Habilitation Specialist | 3916 Garcia St Ne, Albuquerque, NM 87111 | 2017-07-14 |
| 1285179549 | Family Dental Health Care | Dentist | 4550 Eubank Blvd, Suite 203, Albuquerque, NM 87111 | 2016-12-22 |
| 1871036202 | Shobha Jagannath | Nurse Practitioner | 10700 Academy Rd Ne Apt 216, Albuquerque, NM 87111 | 2016-12-03 |
| 1508319310 | Mariana Boitano | Licensed Practical Nurse | 5400 Gibson Blvd., Albuquerque, NM 87111 | 2016-07-28 |
| 1184011082 | Adam Halpern | Specialist/Technologist | 4204 Parsifal St, Albuquerque, NM 87111 | 2015-04-20 |
| 1083015770 | Cvs Pharmacy | Public Health or Welfare | 5516 Camino Arbustos Ne, Albuquerque, NM 87111 | 2014-09-12 |
| 1508276973 | Stephanie Gonzales | Physician Assistant | 12241 Academy Rd Ne Ste 204, Albuquerque, NM 87111 | 2014-05-06 |
| Find all providers in zip 87111 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053933721 | Canu Health, LLC | Nurse Practitioner | 2621 Cutler Ave Ne, Albuquerque, NM 87106-2511 | 2020-05-15 |
| 1245869130 | Indigo Psychiatric Services | Nurse Practitioner | 609 Gold Ave Sw Ste 1-c, Albuquerque, NM 87102-3119 | 2020-04-03 |
| 1194388496 | Anne E. Galanis | Nurse Practitioner | 100 Deputy Dean Miera Dr Sw: Bernalillo County Metropol, Albuquerque, NM 87151 | 2019-04-22 |
| 1790214344 | La Paloma Clinic LLC | Nurse Practitioner | 431 Gene Ave Nw, Albuquerque, NM 87107-5320 | 2017-06-07 |
| 1437493020 | Sarah Michael Workman | Nurse Practitioner | 1501 San Pedro Drive Se, Bld 47, 377mdg/mdos/sgow, Albuquerque, NM 87117 | 2012-11-20 |
| 1437407301 | Jayanna Warwick | Nurse Practitioner | 2015 Wyoming Blvd Ne, Suite F, Albuquerque, NM 87112-2622 | 2012-08-26 |
| 1780939975 | Brenda Kaye Mckenna | Nurse Practitioner | Unm Department of Psychiatry and Behavioral Health Scie, 1 University of New Mexico, Albuquerque, NM 87131 | 2012-07-13 |
| 1194091603 | Awareness Integration LLC | Nurse Practitioner | 219 Sierra Dr Se, Unit A, Albuquerque, NM 87108-2714 | 2012-03-29 |
| 1003148156 | Maureen Kolomeir | Nurse Practitioner | 5345 Wyoming Blvd, Suite 101, Albuquerque, NM 87109-3193 | 2010-01-30 |
| 1780892059 | Jennifer Stewart Schneider | Nurse Practitioner | 1 University of Nm, Msc09-5030, Albuquerque, NM 87131 | 2007-05-19 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87111 |
Please comment or provide details below to improve the information on CLARISSA JUAREZ, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.