JENNIFER JOHNSON (NPI# 1093353393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093353393 |
| Entity Type | Individual |
| Full Name | JENNIFER JOHNSON |
| Credential | CPSW |
| Practice Address |
614 Mcadoo St Ste B T Or C NM 87901-2706 |
| Practice Telephone | 5752970171 |
| Mailing Telephone | 5752970171 |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2020-02-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | 1009 | NM | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174166532 | Jennifer Johnson | Counselor | 4355 High Bridge Rd, Quincy, FL 32351-6128 | 2019-10-17 |
| 1114569316 | Jennifer Dee Johnson | Midwife | 38785 Palo Colorado Rd, Carmel, CA 93923 | 2019-10-09 |
| 1538716014 | Jennifer Johnson | Social Worker | 4400 Old Canton Rd, Jackson, MS 39211-5982 | 2019-08-20 |
| 1699337410 | Jennifer Johnson | Registered Nurse | F341 County Road 6, Deshler, OH 43516-9738 | 2019-07-02 |
| 1427514397 | Jennifer Denise Johnson | Registered Nurse | 573 Lake Manor Dr, Greenville, MS 38701-7417 | 2019-02-15 |
| 1649734583 | Jennifer A Johnson | Counselor | 6126 W State St Ste 102, Boise, ID 83703-2741 | 2019-01-24 |
| 1487125464 | Jennifer Ellen Johnson | Counselor | 614 Haven Ln, Clarks Summit, PA 18411-2402 | 2018-12-17 |
| 1053892638 | Jennifer Yvonne Johnson | Home Health | 121 N Heritage Oaks Dr, Texas City, TX 77591-9326 | 2018-08-22 |
| 1336625912 | Jennifer Johnson | Social Worker | 1 Court Rd, Westford, MA 01886-2627 | 2018-07-17 |
| 1003302415 | Jennifer Nicole Johnson | Respiratory Therapist, Certified | 190 Aviation Plaza, Suite D, Hot Springs, AR 71913-7191 | 2018-07-09 |
| Street Address |
614 MCADOO ST STE B |
| City | T OR C |
| State | NM |
| Zip Code | 87901-2706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194142729 | Sherilyn Marie Oberlin | Counselor | 614 Mcadoo St Ste B, T Or C, NM 87901-2706 | 2014-03-20 |
| 1992333579 | Julie Bryan | Peer Specialist | 614 Mcadoo St Ste B, T Or C, NM 87901-2706 | 2020-03-30 |
| 1184258444 | James Daily | Peer Specialist | 614 Mcadoo St Ste B, T Or C, NM 87901-2706 | 2020-02-26 |
| 1558834705 | Vishna Peoples | Peer Specialist | 614 Mcadoo St Ste B, T Or C, NM 87901-2706 | 2019-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548769011 | Michele Foss | Social Worker | 801 Smith Ave, T Or C, NM 87901 | 2018-02-09 |
| 1487195368 | Steve Stewart | Hospitalist | 800 E. 9th Avenue, Truth Or Consequences, NM 87901 | 2017-03-13 |
| 1750837316 | Klanese Krystal Hatley | Occupational Therapy Assistant | 180 N. Date Street, T Or C, NM 87901 | 2016-09-01 |
| 1932513025 | Karen Grace Gullett | Registered Nurse | 800 East Ninth Ave, Sierra Vista Hospital, Truth Or Consequences, NM 87901 | 2014-06-17 |
| 1306269824 | Mary Louise Masingale | Case Manager/Care Coordinator | 1714 Carrie St., Truth Or Consequences (t. Or C), NM 87901 | 2014-02-04 |
| 1548402555 | Faustino C. Froilan | Internal Medicine | 800 East Ninth Avenue, Sierra Vista Hospital, Truth Or Consequences, NM 87901 | 2009-04-06 |
| 1285874735 | Lesley Jo Ping | Occupational Therapy Assistant | 1400 Silver St., Torc, NM 87901 | 2009-02-24 |
| 1437205978 | Bernie Hewett | Ophthalmology | 518 Date, Truth Or Consequences, NM 87901 | 2007-01-26 |
| 1497806764 | Ambercare Medical Supply Company. | Durable Medical Equipment & Medical Supplies | 908 N Date St, T Or C, NM 87901 | 2007-01-15 |
| 1831285568 | Constance Mae Moore | Chiropractor | 310 N. Broadway, Truth Or Consequences, NM 87901 | 2006-10-04 |
| Find all providers in zip 87901 | ||||
| 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 |
|---|---|---|---|---|
| 1477171080 | Lisa Daniel | Peer Specialist | 808 Fir St, T Or C, NM 87901-1724 | 2020-07-09 |
| 1992333579 | Julie Bryan | Peer Specialist | 614 Mcadoo St Ste B, T Or C, NM 87901-2706 | 2020-03-30 |
| 1184258444 | James Daily | Peer Specialist | 614 Mcadoo St Ste B, T Or C, NM 87901-2706 | 2020-02-26 |
| 1558834705 | Vishna Peoples | Peer Specialist | 614 Mcadoo St Ste B, T Or C, NM 87901-2706 | 2019-01-09 |
| 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.