JACQUELINE COLLETTE JOHNSON (NPI# 1609433804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609433804 |
| Entity Type | Individual |
| Full Name | JACQUELINE COLLETTE JOHNSON |
| Other Name | JACQUELINE COLLETTE PAYTIAMO |
| Credential | LMT, NTS |
| Practice Address |
612 Madeira Dr Se Albuquerque NM 87108-3614 |
| Practice Telephone | 5052637882 |
| Mailing Telephone | 5052637882 |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2019-05-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 9685 | NM | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 425 University Blvd Ne, Albuquerque, NM 871064556 | 5052637882 | |
| 9204 Menaul Blvd Ne Ste 4, Albuquerque, NM 871122201 | 5058831212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679114508 | Jacqueline Johnson | Peer Specialist | 773 Gilbert St, Columbus, OH 43206-1516 | 2019-10-02 |
| 1174189559 | Jacqueline Johnson | Counselor | 1550 Latimer St, Philadelphia, PA 19102-4417 | 2019-05-11 |
| 1942771738 | Jacqueline M Johnson | Counselor | 1304 E Cardeza St, Phila, PA 19119-1545 | 2018-12-06 |
| 1619497468 | Jacqueline Johnson | Specialist/Technologist | 2812 Mulberry St, Saint Joseph, MO 64501-2649 | 2017-06-22 |
| 1063957009 | Jacqueline Johnson | Nurse Practitioner | 420 S. Glendora Ave, West Covina, CA 91790 | 2016-12-29 |
| 1003359951 | Jacqueline Johnson | Registered Nurse | 822 Red Tip Dr, Allen, TX 75002-5023 | 2016-11-27 |
| 1760840896 | Jacqueline Johnson | Massage Therapist | 485 Alexander Loop Ste 110, Eugene, OR 97401-6753 | 2016-02-03 |
| 1437550571 | Jacqueline Johnson | Psychologist | 2592 Western Ave Ste 200, Altamont, NY 12009-9401 | 2014-09-09 |
| 1568719771 | Jacqueline Marjorie Johnson | Psychologist | 170 Forestview Dr, Williamsville, NY 14221-1416 | 2012-08-07 |
| 1750651626 | Jacqueline E Johnson | Registered Nurse | 2 Devon Rd, Brentwood, NY 11717-2142 | 2012-01-09 |
| Street Address |
612 MADEIRA DR SE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87108-3614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274393 | Aubrey Bunnenberg | Behavior Technician | 114 Pennsyvlania St. Ne Apt. 1, Albuquerque, NM 87108 | 2020-08-06 |
| 1336757301 | Dailey Doss | Physician Assistant | Raymond G. Murphy Va Medical Center, 1501 San Pedro Se, Albuquerque, NM 87108 | 2020-07-16 |
| 1457990046 | Christine Lovato | Registered Nurse | Albuquerque Treatment Services LLC, 123 Madeira Dr Se, Albuquerque, NM 87108 | 2019-12-30 |
| 1265074405 | Andrew Jacob Reuter | Pharmacist | 3816 Copper Ave Ne, Unit A, Albuquerque, NM 87108 | 2019-10-09 |
| 1518517325 | Lillian Abeyta | Technician | 1501 San Pedro Dr Se., Albuquerque, NM 87108 | 2019-09-13 |
| 1962970061 | Donald Borrego | Occupational Therapy Assistant | 5200 Copper Ne, #7, Albuquerque, NM 87108 | 2018-11-06 |
| 1154808012 | Catalina Castro | Social Worker | 209 San Pablo Se, Albuquerque, NM 87108 | 2018-07-24 |
| 1942721048 | Walgreen Co | Pharmacy | 933 San Mateo Blvd Ne Ste 501, Albuquerque, NM 87108 | 2017-06-29 |
| 1467981860 | Jennifer Martinez | Behavior Technician | 628 Espanola Se, Albuquerque, NM 87108 | 2017-06-08 |
| 1457892465 | J Dowd Counseling LLC | Counselor | 514 Monroe Street Se, Albuquerque, NM 87108 | 2017-03-10 |
| Find all providers in zip 87108 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396369997 | Darla Rae Shrock | Massage Therapist | 8821 Golf Course Rd Nw, Albuquerque, NM 87114-5726 | 2020-05-31 |
| 1669000592 | Eric Revels | Massage Therapist | University of New Mexico Msco6 3870, Albuquerque, NM 87131-0001 | 2020-03-27 |
| 1629615950 | Kristen Leblanc | Massage Therapist | 2508 Garfield Ave Se Ste B3, Albuquerque, NM 87106-3697 | 2019-12-05 |
| 1851936280 | Caroline Meyers | Massage Therapist | 9204 Menaul Blvd Ne Ste 4nw, Albuquerque, NM 87112-2256 | 2019-11-08 |
| 1194381624 | Kalina Holian | Massage Therapist | 401 Shirley St Ne, Albuquerque, NM 87123-2938 | 2019-05-09 |
| 1831654466 | Martina Dahl Solis | Massage Therapist | 4414 Towner Ave Ne Ste A, Albuquerque, NM 87110-3910 | 2019-02-07 |
| 1023592722 | Cristina Rose Gasca | Massage Therapist | 2921 Carlisle Blvd Ne Ste 104, Albuquerque, NM 87110-2850 | 2018-09-18 |
| 1639652449 | Sara Lynn Barker | Massage Therapist | 4601 Paradise Blvd Nw Ste 112, Albuquerque, NM 87114-6152 | 2018-09-08 |
| 1710469002 | Stephani Mccoy | Massage Therapist | 6211 San Mateo Blvd Ne Ste 200, Albuquerque, NM 87109-3534 | 2018-09-03 |
| 1780165936 | Roneesha Sanders | Massage Therapist | 2020 Menaul Blvd Ne, Albuquerque, NM 87107-1715 | 2018-08-26 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87108 |
Please comment or provide details below to improve the information on JACQUELINE COLLETTE JOHNSON.
| 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.