JESSICA CARR (NPI# 1366803744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366803744 |
| Entity Type | Individual |
| Full Name | JESSICA CARR |
| Credential | BMS |
| Practice Address |
2325 Cerrillos Rd Santa Fe NM 87505-3373 |
| Practice Telephone | 5054380010 |
| Practice Fax Number | 5054386011 |
| Mailing Telephone | 5054380010 |
| Mailing Fax Number | 5054386011 |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2019-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265069009 | Jessica Raye Carr | Student in an Organized Health Care Education/Training Program | 6620 Via Del Oro Fl 2, San Jose, CA 95119-1392 | 2020-03-23 |
| 1225507528 | Jessica Lauren Cherry Carr | Nurse Practitioner | 909 Big Hollow Rd, Blountville, TN 37617-6122 | 2018-11-15 |
| 1578894028 | Jessica Lynn Carr | Licensed Practical Nurse | 2218 Burbank Rd, Wooster, OH 44691-2144 | 2010-01-22 |
| 1609419134 | Jessica Renae Carr | Nurse Practitioner | 4232 Heritage Trace Pkwy, Fort Worth, TX 76244-5375 | 2019-10-28 |
| 1770088270 | Jessica Carr | Speech-Language Pathologist | 10820 E 45th St Ste 101, Tulsa, OK 74146-3803 | 2018-03-27 |
| 1750894432 | Jessica Ann Carr | Student in an Organized Health Care Education/Training Program | 223 Kalamazoo St, East Lansing, MI 48824-5400 | 2017-11-16 |
| 1497110407 | Jessica Carr | Counselor | 622 Riverside Dr, Monroe, LA 71201-6211 | 2015-12-17 |
| 1366812794 | Jessica Carr | Nurse Practitioner | 153 E Broadway Blvd, Jefferson City, TN 37760-2517 | 2015-09-28 |
| 1871843466 | Jessica E Carr | Physician Assistant | 1850 Town Center Pkwy, Reston, VA 20190-3219 | 2012-09-11 |
| 1114208436 | Jessica Carr | Pharmacist | 3220 Halifax Rd, South Boston, VA 24592-4908 | 2011-08-31 |
| Street Address |
2325 CERRILLOS RD |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505-3373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104817832 | Adam V Baca | Counselor | 2325 Cerrillos Rd, The Life Link, Santa Fe, NM 87505-3373 | 2005-11-02 |
| 1114526522 | Christopher Maestas | Military Health Care Provider | 2325 Cerrillos Rd, Santa Fe, NM 87505-3373 | 2020-10-19 |
| 1215535364 | Danielle White | Student in an Organized Health Care Education/Training Program | 2325 Cerrillos Rd, Santa Fe, NM 87505-3373 | 2020-10-12 |
| 1972117760 | Patricia Vigil-bartrum | Case Manager/Care Coordinator | 2325 Cerrillos Rd, Santa Fe, NM 87505-3373 | 2020-08-31 |
| 1841803996 | Carmen Miranda Rowland | Case Manager/Care Coordinator | 2325 Cerrillos Rd, Santa Fe, NM 87505-3373 | 2020-08-28 |
| 1306465182 | Anna M Silva | Case Manager/Care Coordinator | 2325 Cerrillos Rd, Santa Fe, NM 87505-3373 | 2020-04-13 |
| 1386274645 | Tanya Romero | Case Manager/Care Coordinator | 2325 Cerrillos Rd, Santa Fe, NM 87505-3373 | 2020-01-24 |
| 1558905117 | Catherine V Hyde | Student in an Organized Health Care Education/Training Program | 2325 Cerrillos Rd, Santa Fe, NM 87505-3373 | 2019-11-06 |
| 1457909541 | Ebony Archie | Case Manager/Care Coordinator | 2325 Cerrillos Rd, Santa Fe, NM 87505-3373 | 2019-08-31 |
| 1376102871 | Gabrielle Martinez | Case Manager/Care Coordinator | 2325 Cerrillos Rd, Santa Fe, NM 87505-3373 | 2019-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939031 | Enchanted Sky Hospice,llc | Hospice Care, Community Based | 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 | 2020-07-16 |
| 1700409968 | Caa Consulting, LLC | Clinic/Center | 1448 S St. Francis Drive, Santa Fe, NM 87505 | 2020-05-22 |
| 1104447093 | Dana Marie Tsyconyea Simmons | Counselor | 1640 Calle Medico, Suite E, Santa Fe, NM 87505 | 2020-05-01 |
| 1114574217 | Kumara Hampton Therapy, LLC | Counselor | 11 Calle Medico Suite 4, Santa Fe, NM 87505 | 2019-08-22 |
| 1245886977 | Caroline Ward | Technician | 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 | 2019-08-19 |
| 1205490752 | Alyson Yacono | Physical Therapist | 104 Old Las Vegas Highway, Santa Fe, NM 87505 | 2019-04-30 |
| 1366919649 | Allyson Matthews | Speech-Language Pathologist | Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 | 2018-10-25 |
| 1093280281 | Diamond Care Santa Fe LLC | Skilled Nursing Facility | 635 Harkle Road, Santa Fe, NM 87505 | 2018-10-04 |
| 1972087054 | Changing Woman Initiative | Advanced Practice Midwife | 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 | 2018-09-24 |
| 1154812782 | Heart Wing, LLC | Social Worker | 2724 Alamosa Drive, Santa Fe, NM 87505 | 2018-05-18 |
| Find all providers in zip 87505 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181869 | Thomas Spencer Baldinger | Case Manager/Care Coordinator | 880b Chicoma Vis, Santa Fe, NM 87507-7671 | 2020-10-12 |
| 1922635804 | Laura Murphy | Case Manager/Care Coordinator | 502 W Cordova Rd, Santa Fe, NM 87505-1820 | 2020-03-23 |
| 1689107468 | Julia Bain | Case Manager/Care Coordinator | 2916 Governor Mabry Ct, Santa Fe, NM 87505-6438 | 2017-04-07 |
| 1376089672 | State of New Mexico-altsd | Case Manager/Care Coordinator | 2550 Cerrillos Road, Santa Fe, NM 87505 | 2017-01-10 |
| 1871831057 | Adam Garduno | Case Manager/Care Coordinator | 2325 Cerritos Road, Santa Fe, NM 87505 | 2013-01-23 |
| 1982954293 | Catherine Rule | Case Manager/Care Coordinator | 936 Dunlap St, Santa Fe, NM 87501-2416 | 2012-09-13 |
| 1720373004 | Whfp,llc | Case Manager/Care Coordinator | 2865 Cerrillos Rd, Santa Fe, NM 87507-2311 | 2011-06-14 |
| 1053543785 | Michelle Lynn | Case Manager/Care Coordinator | 918 Alto St, Santa Fe, NM 87501-2405 | 2009-08-13 |
| 1538399506 | Ellen Botsian | Case Manager/Care Coordinator | 2325 Cerrillos Road, Santa Fe, NM 87505 | 2009-07-23 |
| 1205017845 | Sergio Garcia | Case Manager/Care Coordinator | 6533 Valentine Way, Santa Fe, NM 87507-3162 | 2007-11-26 |
| Find all providers in SANTA FE | ||||
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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.