JESSICA IUDICIANI (NPI# 1376940775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376940775 |
| Entity Type | Individual |
| Full Name | JESSICA IUDICIANI |
| Practice Address |
325 N Bergin Ln Bloomfield NM 87413-6729 |
| Practice Telephone | 5056324389 |
| Mailing Telephone | 5056324389 |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2014-12-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
Behavioral Health & Social Service Providers |
| Street Address |
325 N BERGIN LN |
| City | BLOOMFIELD |
| State | NM |
| Zip Code | 87413-6729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710192547 | Bloomfield School District | Local Education Agency (LEA) | 325 N Bergin Ln, Bloomfield, NM 87413-6729 | 2007-05-14 |
| 1598363566 | Christina L Herbig | Registered Nurse | 325 N Bergin Ln, Bloomfield, NM 87413-6729 | 2020-10-13 |
| 1467964742 | Barbara Wheeler | Speech-Language Pathologist | 325 N Bergin Ln, Bloomfield, NM 87413-6729 | 2017-10-26 |
| 1609326453 | Cynthia L Miller | Registered Nurse | 325 N Bergin Ln, Bloomfield, NM 87413-6729 | 2016-10-05 |
| 1508314964 | Karen Dennis | Registered Nurse | 325 N Bergin Ln, Bloomfield, NM 87413-6729 | 2016-09-14 |
| 1073061461 | Pamela Allcorn | Social Worker | 325 N Bergin Ln, Bloomfield, NM 87413-6729 | 2016-09-14 |
| 1730637117 | Cheryl Hare | Licensed Practical Nurse | 325 N Bergin Ln, Bloomfield, NM 87413-6729 | 2016-09-14 |
| 1134677511 | Lisa Hamilton | Registered Nurse | 325 N Bergin Ln, Bloomfield, NM 87413-6729 | 2016-09-14 |
| 1871040196 | Cynthia Colson | Registered Nurse | 325 N Bergin Ln, Bloomfield, NM 87413-6729 | 2016-09-02 |
| 1164976098 | Chelsea Romero | Specialist/Technologist | 325 N Bergin Ln, Bloomfield, NM 87413-6729 | 2016-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396057 | Heather Smith | Behavior Technician | 25a Cr 5060, Bloomfield, NM 87413 | 2020-11-04 |
| 1104292325 | Michelle Childers-beck | Social Worker | 235 N Bergin Lane, Bloomfield, NM 87413 | 2015-08-12 |
| 1427364090 | Marichu Lazo | Occupational Therapy Assistant | 803 Hacienda Lane, Bloomfield, NM 87413 | 2010-08-20 |
| 1023344181 | Sundance Dental Care of Bloomfield, LLC. | Dentist | 100 South First Street, Bloomfield, NM 87413 | 2009-10-26 |
| 1972838266 | Chris Dwight Richardson | Physical Therapy Assistant | #6 Cty Rd 5149, Bloomfield, NM 87413 | 2009-10-05 |
| 1710025028 | Roy Hernandez | Speech-Language Pathologist | 325 North Bergin Lane, Bloomfield, NM 87413 | 2007-02-01 |
| 1760427587 | Dhhs, Phs, Naihs, Shiprock Hospital | Clinic/Center | 6 Road 7586, Bloomfield, NM 87413 | 2006-06-17 |
| 1568500833 | Connie Hernandez | Speech-Language Pathologist | 325 North Bergin Lane, Bloomfield, NM 87413-2430 | 2007-02-01 |
| 1841453636 | James Bellah | Family Medicine | 6 County Road 7586, Bloomfield, NM 87413-4934 | 2008-07-02 |
| 1598751778 | David Lynn Doss | Optometrist | 6 Road 7586, Bloomfield, NM 87413-4934 | 2005-09-23 |
| Find all providers in zip 87413 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457635500 | Jennifer Schroeder | Psychologist | 45 Maple Ave, Bloomfield, NY 14469-9394 | 2011-10-07 |
| 1780964601 | Monika Kos | Psychologist | 325 N Bergin Ln, Bloomfield, NM 87413-6729 | 2011-08-23 |
| 1124308044 | Emma Y. Foster | Psychologist | 325 N Bergin Ln, Bloomfield, NM 87413-6729 | 2011-08-23 |
| 1043417801 | Elias Michael Ellovich | Psychologist | 699 Bloomfield Ave, Bloomfield, CT 06002-2462 | 2007-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831703701 | Cara Jean Burrola | Psychologist | 1111 Capitan St Nw, Los Lunas, NM 87031-6909 | 2020-09-08 |
| 1619528510 | Heather Scott | Psychologist | Highway 64, Old High School Road, Shiprock, NM 87420 | 2019-09-23 |
| 1548826829 | Stephanie Trujillo | Psychologist | 2810 N. Swan St., Silver City, NM 88061 | 2019-05-13 |
| 1003384181 | Patricia Keeler | Psychologist | # 50 County Rd. 13, Cuba, NM 87013 | 2018-11-07 |
| 1427562107 | Tascha Just | Psychologist | 1 Sunlit Dr E, Santa Fe, NM 87508-8993 | 2017-11-16 |
| 1164949780 | Christine S. Park | Psychologist | 6020 Constitution Ave Ne Ste 4, Albuquerque, NM 87110-5931 | 2017-08-24 |
| 1982128641 | Krystal Marie Ruiz | Psychologist | 505 S. Main, Ste. 249, Las Cruces, NM 88001 | 2017-08-03 |
| 1700327384 | Anastacia Sena Jaramillo | Psychologist | 126 Silva Ave., Las Vegas, NM 87701 | 2017-03-15 |
| 1477004281 | Ciarra Marrufo | Psychologist | 1100 W Bullock Ave, Artesia, NM 88210-2342 | 2016-10-17 |
| 1346697026 | Mary E. Sawyers, Ma, Lpcc | Psychologist | 1200 N White Sands Blvd Ste 118, Alamogordo, NM 88310-6774 | 2016-05-23 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMFIELD |
| Zip Code | 87413 |
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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.