LISA A MCGRUDER (NPI# 1093325466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093325466 |
| Entity Type | Individual |
| Full Name | LISA A MCGRUDER |
| Practice Address |
920 W Broadway St Hobbs NM 88240-5529 |
| Mailing Address |
Po Box 907 Hobbs NM 88241-0907 |
| Practice Telephone | 5753933168 |
| Mailing Telephone | 5753933168 |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2020-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
920 W BROADWAY ST |
| City | HOBBS |
| State | NM |
| Zip Code | 88240-5529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700889805 | Donald R Davis | Counselor | 920 W Broadway St, Hobbs, NM 88240-5529 | 2005-05-23 |
| 1376159459 | Misty D Nolan | Social Worker | 920 W Broadway St, Hobbs, NM 88240-5529 | 2020-09-23 |
| 1841806288 | Bonnie R Fletcher | Case Manager/Care Coordinator | 920 W Broadway St, Hobbs, NM 88240-5529 | 2020-09-21 |
| 1992310015 | Mallory Clare Carver | Behavior Technician | 920 W Broadway St, Hobbs, NM 88240-5529 | 2020-09-15 |
| 1437764404 | Patrick R Vigil | Case Manager/Care Coordinator | 920 W Broadway St, Hobbs, NM 88240-5529 | 2020-09-15 |
| 1144835075 | Staci Lynn Altman | Case Manager/Care Coordinator | 920 W Broadway St, Hobbs, NM 88240-5529 | 2020-09-08 |
| 1891309795 | Jonnasha Le'aan Banks | Case Manager/Care Coordinator | 920 W Broadway St, Hobbs, NM 88240-5529 | 2020-09-08 |
| 1922612712 | John W Dunlap | Case Manager/Care Coordinator | 920 W Broadway St, Hobbs, NM 88240-5529 | 2020-08-31 |
| 1417566910 | Laura Anne Wallace | Case Manager/Care Coordinator | 920 W Broadway St, Hobbs, NM 88240-5529 | 2020-07-30 |
| 1700495322 | Stephendanell E Stroud | Peer Specialist | 920 W Broadway St, Hobbs, NM 88240-5529 | 2020-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225676430 | Dma Professional Services, LLC | Dentist | Degollado 2229, Nuevo Laredo, TAMAULIPAS 88240 | 2019-12-18 |
| 1366930380 | Nor-lea Hospital District | Clinic/Center | 800 N Jefferson St Bldg Shch, Hobbs, NM 88240 | 2018-04-25 |
| 1427553668 | Ahrang Lee | Pharmacist | 1225 North Turner, Hobbs, NM 88240 | 2018-03-29 |
| 1881100907 | George E. Jossell | Pharmacist | 5419 N Lovington Highway, Hobbs, NM 88240 | 2017-12-27 |
| 1912445495 | Brittany Briseno | Social Worker | 615 West Broadway, Suite 2, Hobbs, NM 88240 | 2017-02-06 |
| 1780122291 | Valerie Kleespies | Social Worker | 215 West Broadway Street, Suite 2, Hobbs, NM 88240 | 2017-02-03 |
| 1841693082 | Cecillia Anna Espinoza | Counselor | 215 W. Broadway N#1, Hobbs, NM 88240 | 2014-10-02 |
| 1982020814 | Jennifer Pyeatt | Pharmacist | 715 W Bender, Hobbs, NM 88240 | 2014-03-17 |
| 1952738627 | Carlos Alberto Revelo | Internal Medicine | 3028 N Grimes St, Hobbs, NM 88240 | 2013-09-26 |
| 1710232665 | Border Dental Billing LLC | Dentist | Santos Degollado 3343, Nuevo Laredo, TAMAULIPAS 88240 | 2012-07-17 |
| Find all providers in zip 88240 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700495322 | Stephendanell E Stroud | Peer Specialist | 920 W Broadway St, Hobbs, NM 88240-5529 | 2020-07-29 |
| 1104475375 | Rigo Osnaya | Peer Specialist | 920 W Broadway St, Hobbs, NM 88240-5529 | 2019-09-10 |
| 1316408750 | Sarah Rodriguez | Peer Specialist | 920 W Broadway St, Hobbs, NM 88240-5529 | 2019-03-28 |
| 1114499019 | Mary A Allen | Peer Specialist | 920 W Broadway St, Hobbs, NM 88240-5529 | 2018-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306049 | Sherri Rhoten | Peer Specialist | 5535 Rockhound Rd Se, Deming, NM 88030-8247 | 2020-08-12 |
| 1154942746 | Samantha Ashcroft | Peer Specialist | 2801 Missouri Ave Ste 22, Las Cruces, NM 88011-5062 | 2020-05-05 |
| 1356976674 | Amanda Abeyta | Peer Specialist | 1000 N Paseo De Onate, Espanola, NM 87532-2683 | 2020-03-06 |
| 1164069662 | Rachel Pyne | Peer Specialist | 205 Bertha Rd Ste B, Taos, NM 87571-5188 | 2019-12-03 |
| 1417591116 | George Gamon | Peer Specialist | 224 Anthony Dr Ste B, Anthony, NM 88021-9366 | 2019-11-05 |
| 1467094029 | Donovan Lucero | Peer Specialist | 7 Rio San Jose Dr, Laguna, NM 87026 | 2019-10-15 |
| 1558820043 | Gabriela C Ochoa | Peer Specialist | 2801 Missouri Ave Ste 38, Las Cruces, NM 88011-9151 | 2019-03-14 |
| 1053882795 | Mateo R Duran | Peer Specialist | 10519 Trieste Ct Nw, Albuquerque, NM 87114-5187 | 2018-12-06 |
| 1194229278 | Michael Townsend | Peer Specialist | 3 Cedar Rd, Algodones, NM 87001 | 2018-03-22 |
| 1508233594 | Jennifer Tenorio | Peer Specialist | 176 Sunrise Rd, San Felipe Pb, NM 87001-8019 | 2015-08-26 |
| Find all providers with the same taxonomy | ||||
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| 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.