GINGER SHANNON (NPI# 1609412253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609412253 |
Entity Type | Individual |
Full Name | GINGER SHANNON |
Practice Address |
303 N Alameda Blvd Las Cruces NM 88005-2590 |
Practice Telephone | 5755230111 |
Mailing Telephone | 5755230111 |
Enumeration Date | 2019-11-19 |
Last Update Date | 2019-11-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
Street Address |
303 N ALAMEDA BLVD |
City | LAS CRUCES |
State | NM |
Zip Code | 88005-2590 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386139780 | Rydan Solutions Inc | Community/Behavioral Health | 303 N Alameda Blvd, Las Cruces, NM 88005-2590 | 2018-06-27 |
1679184147 | Matthew Christopher Bryan | Social Worker | 303 N Alameda Blvd, Las Cruces, NM 88005-2590 | 2020-08-10 |
1942819040 | Armando Roberto Jalil | Counselor | 303 N Alameda Blvd, Las Cruces, NM 88005-2590 | 2020-07-24 |
1205472511 | Marisol Cano-garcia | Peer Specialist | 303 N Alameda Blvd, Las Cruces, NM 88005-2590 | 2019-11-21 |
1114562360 | William Edward Branco | Peer Specialist | 303 N Alameda Blvd, Las Cruces, NM 88005-2590 | 2019-11-12 |
1972148120 | Martin Medina | Peer Specialist | 303 N Alameda Blvd, Las Cruces, NM 88005-2590 | 2019-11-12 |
1801365275 | Alexandra Nicole Guerrero | Social Worker | 303 N Alameda Blvd, Las Cruces, NM 88005-2590 | 2018-11-15 |
1699261602 | Cynthia Stinson | Counselor | 303 N Alameda Blvd, Las Cruces, NM 88005-2590 | 2018-07-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871158345 | Raymond Pope Stewart Jr. | Community Health Worker | 9999 W. Amador Avenue, Ste. A, Las Cruces, NM 88005 | 2019-05-09 |
1538638481 | Jennifer Mcafee | Social Worker | 3100 Oak St. Las Cruces, Nm, Las Cruces, NM 88005 | 2018-11-21 |
1023583226 | Richard Flores | Physical Therapist | 1090 Med Park Dr., Las Cruces, NM 88005 | 2018-10-04 |
1558850834 | Connections Therapy, Inc. | Counselor | 225 E Idaho Ave Ste 25, Las Cruces, NM 88005 | 2018-05-02 |
1982134771 | Madalyn Elyse Sprague | Behavior Technician | 1007 Ellendale Dr, Las Cruces, NM 88005 | 2017-06-14 |
1043766249 | Leandra Gabrielle Abeyta | Registered Nurse | 2363 W University Ave, Las Cruces, NM 88005 | 2016-08-28 |
1790172641 | Amistad Milestones LLC | Speech-Language Pathologist | 3100 Oak Street, Las Cruces, NM 88005 | 2015-04-17 |
1043628753 | Richael Anne Bouvet-jenkins | Social Worker | 755 W. Hadley Avenue, Las Cruces, NM 88005 | 2014-07-25 |
1194133801 | Helena Catalina Melendez | Dental Hygienist | 385 Calle Alegra Blg C, Las Cruces, NM 88005 | 2014-07-25 |
1447668256 | Cherie O'dell | Specialist | 1758 Highland Ave, Las Cruces, NM 88005 | 2014-07-24 |
Find all providers in zip 88005 |
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 |
---|---|---|---|---|
1154942746 | Samantha Ashcroft | Peer Specialist | 2801 Missouri Ave Ste 22, Las Cruces, NM 88011-5062 | 2020-05-05 |
1558820043 | Gabriela C Ochoa | Peer Specialist | 2801 Missouri Ave Ste 38, Las Cruces, NM 88011-9151 | 2019-03-14 |
1922630755 | Katana Wolf | Peer Specialist | 105 W Griggs Ave, Las Cruces, NM 88001-1235 | 2020-02-10 |
1306482161 | Stephanie Necole Reiss | Peer Specialist | 100 W Griggs Ave, Las Cruces, NM 88001-1234 | 2019-11-26 |
1205472511 | Marisol Cano-garcia | Peer Specialist | 303 N Alameda Blvd, Las Cruces, NM 88005-2590 | 2019-11-21 |
1114562360 | William Edward Branco | Peer Specialist | 303 N Alameda Blvd, Las Cruces, NM 88005-2590 | 2019-11-12 |
1972148120 | Martin Medina | Peer Specialist | 303 N Alameda Blvd, Las Cruces, NM 88005-2590 | 2019-11-12 |
1144887282 | Veronica Delgado | Peer Specialist | 100 W Griggs Ave, Las Cruces, NM 88001-1234 | 2019-05-23 |
1174096945 | Anthony Charles Mason | Peer Specialist | 100 W Griggs Ave, Las Cruces, NM 88001-1234 | 2019-01-04 |
1700398245 | Patricia Susan Gonzales | Peer Specialist | 100 W Griggs Ave, Las Cruces, NM 88001-1234 | 2017-10-24 |
Find all providers in LAS CRUCES |
City | LAS CRUCES |
Zip Code | 88005 |
Please comment or provide details below to improve the information on GINGER SHANNON.
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.