JESSICA CALDERA (NPI# 1194058164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194058164 |
| Entity Type | Individual |
| Full Name | JESSICA CALDERA |
| Credential | MST |
| Practice Address |
1621 Sutter Place Clovis NM 88101 |
| Mailing Address |
1100 W. 21st Clovis NM 88101 |
| Practice Telephone | 5757422620 |
| Practice Fax Number | 5757423182 |
| Mailing Telephone | 5757692345 |
| Mailing Fax Number | 5757699013 |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2015-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
01369101 | NM | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | L7904 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215592266 | Jessica Elaine Caldera | Behavior Technician | 3771 Stefani Rd, Cantonment, FL 32533-7795 | 2019-05-06 |
| Street Address |
1621 SUTTER PLACE |
| City | CLOVIS |
| State | NM |
| Zip Code | 88101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124262464 | Jennifer M. Giannino | Counselor | 1621 Sutter Place, Clovis, NM 88101 | 2009-04-30 |
| 1528474384 | Brandi Watkins | Counselor | 1621 Sutter Place, 300 E. 1st, Clovis, NM 88101 | 2014-07-01 |
| 1285045831 | Keri Reeves | Case Manager/Care Coordinator | 1621 Sutter Place, Clovis, NM 88101 | 2014-05-16 |
| 1215273305 | Jonathan Brunk | Counselor | 1621 Sutter Place, Clovis, NM 88101 | 2012-12-18 |
| 1073878195 | Luzmeilyn Mansur | Counselor | 1621 Sutter Place, Clovis, NM 88101 | 2012-07-05 |
| 1972891307 | Kara Rachelle Bible | Counselor | 1621 Sutter Place, Clovis, NM 88101 | 2011-07-19 |
| 1518290774 | Gabriel D Montoya | Case Manager/Care Coordinator | 1621 Sutter Place, Clovis, NM 88101 | 2009-09-04 |
| 1154554541 | Mark A Maestas | Counselor | 1621 Sutter Place, Clovis, NM 88101 | 2009-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748692 | Patrick James Scollon | Military Health Care Provider | 104 W D. L. Ingram Ave, Cannon Afb, Nm 88101, Cannon Afb, NM 88101 | 2020-04-14 |
| 1285274878 | Keishla Cota | Physical Therapist | 100 East Manana Blvd, Unit 1, Clovis, NM 88101 | 2020-01-10 |
| 1659927283 | Ndeye Ndour | Nurse Anesthetist, Certified Registered | 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 | 2019-08-09 |
| 1679132468 | Justine Nicole Nunez | Nurse Practitioner | 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 | 2019-06-06 |
| 1518453521 | Moore Psychological Services, Pllc | Social Worker | 1908 West 21st Street, Clovis, NM 88101 | 2018-07-03 |
| 1912494006 | Raesha Russell | Behavior Technician | 214 West 9th St, Clovis, NM 88101 | 2018-04-16 |
| 1013425800 | Vanessa Yardley | Registered Nurse | 2100 N. Martin Luther King Jr. Blvd., Clovis, NM 88101 | 2018-01-16 |
| 1699204230 | Olivia Garcia | Technician, Other | 1100 W 21st Street, Clovis, NM 88101 | 2017-06-07 |
| 1578006250 | Mary Ellen Gray | Technician, Other | 9408 B Vermont Court, Clovis, NM 88101 | 2016-11-29 |
| 1205296977 | Malaney Harmon | Behavioral Analyst | 2700 E 7th St., Clovis, NM 88101 | 2016-02-24 |
| Find all providers in zip 88101 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306491568 | Ramage Marriage & Family Therapy, Inc. | Counselor | 264 Clovis Ave # 202, Clovis, CA 93612-1115 | 2019-08-05 |
| 1205320975 | Jonathan Thao | Counselor | 1960 Fairmont Ave, Clovis, CA 93611-4151 | 2018-06-18 |
| 1518482678 | Janeesha Pleasant | Counselor | 1621 Sutter Pl, Clovis, NM 88101-4610 | 2017-08-10 |
| 1679018626 | Cassandra Aldaz | Counselor | 3341 Loyola Ave, Clovis, CA 93619-7200 | 2016-12-29 |
| 1912453176 | Felicia A. Dobbs | Counselor | 100 Scottsdale Dr, Clovis, NM 88101-2739 | 2016-08-28 |
| 1578948360 | Sandra Whiting | Counselor | 3017 N Prince St, Suite B, Clovis, NM 88101-3804 | 2015-07-22 |
| 1346634730 | Sharon Miller | Counselor | 2200 Las Palomas Rd, Clovis, NM 88101-4345 | 2015-03-24 |
| 1235569559 | Restored Hope Counseling, LLC | Counselor | 801 Pile St, Suite 202, Clovis, NM 88101-6643 | 2013-11-22 |
| 1669805222 | David Brian Macmaster | Counselor | 2778 Hampton Way, Clovis, CA 93611-5570 | 2013-08-17 |
| 1013352400 | Lula Mae Brown | Counselor | Matt 25 1200 North Thornton Street, Clovis, NM 88101 | 2013-04-30 |
| Find all providers in CLOVIS | ||||
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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.