DONOVAN LUCERO (NPI# 1467094029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467094029 |
Entity Type | Individual |
Full Name | DONOVAN LUCERO |
Practice Address |
7 Rio San Jose Dr Laguna NM 87026 |
Practice Telephone | 5055526513 |
Mailing Telephone | 5055526513 |
Enumeration Date | 2019-10-15 |
Last Update Date | 2019-10-15 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | 125433189 | 05 |
Street Address |
7 RIO SAN JOSE DR |
City | LAGUNA |
State | NM |
Zip Code | 87026 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841833589 | Davina M Segay | Prevention Professional | 7 Rio San Jose St, Laguna, NM 87026 | 2019-10-25 |
1316589534 | Kenneth Thomas | Counselor | 7 Rio San Jose, Laguna, NM 87026 | 2019-10-09 |
1528586435 | Romilly Ortiz | Physician Assistant | 129 Medicine Horse Dr, Canoncito, NM 87026 | 2017-08-31 |
1174071534 | Laguna Early Childhood Program | Early Intervention Provider Agency | I40 W 114 Bldg 1125, Laguna, NM 87026 | 2016-09-14 |
1629525605 | Canoncito Band of Navajos Health Center, Inc | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 129 Medicine Horse Road, Canoncito, NM 87026 | 2016-09-07 |
1144535337 | Lisa Marie King | Counselor | 86 Medicine Horse Dr., 86 Medicine Horse Dr., Canoncito, NM 87026 | 2010-08-11 |
1619151651 | Rosi Aragon | Counselor | Tbhs Building, I-40, 26 Mi. W. of Abq, Exit 131, 3 Mi. N., To'hajiilee, NM 87026 | 2007-12-27 |
1538343579 | Canoncito Band of Navajo Health Center, Inc | Community/Behavioral Health | 96 Medicine Horse Dr., To'hajiilee, NM 87026 | 2007-12-27 |
1992999296 | Ruth Lynne Kelly | Social Worker | I40 W Exit 131 Highway 56 N, Acl Teen Centers To'hajiilee Community School, To'hajiilee, NM 87026 | 2007-08-29 |
1194941823 | Mary Frances Sarracino | Social Worker | Exit 114, Us Route 66, Laguna, NM 87026 | 2007-04-18 |
Find all providers in zip 87026 |
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 |
---|---|---|---|---|
1558904102 | Christina Martinez | Peer Specialist | 7 Rio San Jose, Laguna, NM 87026 | 2019-10-25 |
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 |
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 |
1295118636 | Justine Page | Peer Specialist | 19 La Mirada, Belen, NM 87002-7334 | 2015-07-02 |
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.