STEPHENDANELL E STROUD


Address: 920 W Broadway St, Hobbs, NM 88240-5529
Phone: 5753933168

STEPHENDANELL E STROUD (NPI# 1700495322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700495322
Entity Type Individual
Full Name STEPHENDANELL E STROUD
Practice Address 920 W Broadway St
Hobbs
NM 88240-5529
Mailing Address Po Box 907
Hobbs
NM 88241-0907
Practice Telephone 5753933168
Mailing Telephone 5753933168
Enumeration Date 2020-07-29
Last Update Date 2020-07-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist 1022 NM Other Service Providers

Office Location

Street Address 920 W BROADWAY ST
City HOBBS
State NM
Zip Code 88240-5529

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700889805 Donald R Davis Counselor 920 W Broadway St, Hobbs, NM 88240-5529 2005-05-23
1376159459 Misty D Nolan Social Worker 920 W Broadway St, Hobbs, NM 88240-5529 2020-09-23
1841806288 Bonnie R Fletcher Case Manager/Care Coordinator 920 W Broadway St, Hobbs, NM 88240-5529 2020-09-21
1992310015 Mallory Clare Carver Behavior Technician 920 W Broadway St, Hobbs, NM 88240-5529 2020-09-15
1437764404 Patrick R Vigil Case Manager/Care Coordinator 920 W Broadway St, Hobbs, NM 88240-5529 2020-09-15
1144835075 Staci Lynn Altman Case Manager/Care Coordinator 920 W Broadway St, Hobbs, NM 88240-5529 2020-09-08
1891309795 Jonnasha Le'aan Banks Case Manager/Care Coordinator 920 W Broadway St, Hobbs, NM 88240-5529 2020-09-08
1922612712 John W Dunlap Case Manager/Care Coordinator 920 W Broadway St, Hobbs, NM 88240-5529 2020-08-31
1093325466 Lisa A Mcgruder Peer Specialist 920 W Broadway St, Hobbs, NM 88240-5529 2020-07-31
1417566910 Laura Anne Wallace Case Manager/Care Coordinator 920 W Broadway St, Hobbs, NM 88240-5529 2020-07-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225676430 Dma Professional Services, LLC Dentist Degollado 2229, Nuevo Laredo, TAMAULIPAS 88240 2019-12-18
1366930380 Nor-lea Hospital District Clinic/Center 800 N Jefferson St Bldg Shch, Hobbs, NM 88240 2018-04-25
1427553668 Ahrang Lee Pharmacist 1225 North Turner, Hobbs, NM 88240 2018-03-29
1881100907 George E. Jossell Pharmacist 5419 N Lovington Highway, Hobbs, NM 88240 2017-12-27
1912445495 Brittany Briseno Social Worker 615 West Broadway, Suite 2, Hobbs, NM 88240 2017-02-06
1780122291 Valerie Kleespies Social Worker 215 West Broadway Street, Suite 2, Hobbs, NM 88240 2017-02-03
1841693082 Cecillia Anna Espinoza Counselor 215 W. Broadway N#1, Hobbs, NM 88240 2014-10-02
1982020814 Jennifer Pyeatt Pharmacist 715 W Bender, Hobbs, NM 88240 2014-03-17
1952738627 Carlos Alberto Revelo Internal Medicine 3028 N Grimes St, Hobbs, NM 88240 2013-09-26
1710232665 Border Dental Billing LLC Dentist Santos Degollado 3343, Nuevo Laredo, TAMAULIPAS 88240 2012-07-17
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Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093325466 Lisa A Mcgruder Peer Specialist 920 W Broadway St, Hobbs, NM 88240-5529 2020-07-31
1104475375 Rigo Osnaya Peer Specialist 920 W Broadway St, Hobbs, NM 88240-5529 2019-09-10
1316408750 Sarah Rodriguez Peer Specialist 920 W Broadway St, Hobbs, NM 88240-5529 2019-03-28
1114499019 Mary A Allen Peer Specialist 920 W Broadway St, Hobbs, NM 88240-5529 2018-12-18

Providers in the same taxonomy and state

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
1467094029 Donovan Lucero Peer Specialist 7 Rio San Jose Dr, Laguna, NM 87026 2019-10-15
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
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Competitor

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City HOBBS
Zip Code 88240

Improve Information

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Dataset Information

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.

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