JACKIE E CONNALLY (NPI# 1730316142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730316142 |
| Entity Type | Individual |
| Full Name | JACKIE E CONNALLY |
| Credential | CSFA |
| Practice Address |
502 Elm St Ne Albuquerque NM 87102-2512 |
| Practice Telephone | 5058411000 |
| Mailing Telephone | 5058411000 |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2011-03-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | CERTIFICATE ONLY | CO | Other Service Providers |
| Street Address |
502 ELM ST NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102-2512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568464600 | William M. Deane | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 502 Elm St Ne, Albuquerque, NM 87102-2512 | 2005-06-01 |
| 1568019404 | Lily A Jackman | Registered Nurse | 502 Elm St Ne, Albuquerque, NM 87102-2512 | 2019-08-26 |
| 1326539420 | Sandeep Nair | Internal Medicine | 502 Elm St Ne, Albuquerque, NM 87102-2512 | 2018-05-24 |
| 1710403589 | Catherine Elizabeth Mahoney | Nurse Practitioner | 502 Elm St Ne, Albuquerque, NM 87102-2512 | 2017-08-14 |
| 1336664820 | Arun L Malikayil | Physician Assistant | 502 Elm St Ne, Albuquerque, NM 87102-2512 | 2017-08-07 |
| 1033642921 | Crystal Lewis-hicks | Nurse Practitioner | 502 Elm St Ne, Albuquerque, NM 87102 | 2017-04-06 |
| 1275073009 | Rachel Deaton | Registered Nurse | 502 Elm St Ne, Albuquerque, NM 87102-2512 | 2017-02-27 |
| 1609318500 | Judith Everett | Registered Nurse | 502 Elm St Ne, Albuquerque, NM 87102-2512 | 2016-11-08 |
| 1972050383 | David Wayne Young | Physician Assistant | 502 Elm St Ne, Albuquerque, NM 87102 | 2016-09-01 |
| 1134520232 | Erin Miller Schultz | Physician Assistant | 502 Elm St Ne, Albuquerque, NM 87102-2512 | 2014-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
| 1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
| 1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| 1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
| 1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
| 1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| Find all providers in zip 87102 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417504168 | Beautiful Transitions Consulting | Specialist | 9404 Casitas Ct Sw, Albuquerque, NM 87121-9482 | 2019-08-19 |
| 1952840191 | Odely Ortiz-vega | Specialist | 10582 Vista Bella Pl Nw, Albuquerque, NM 87114-3886 | 2017-02-21 |
| 1669824652 | Jeanette Marie Deanda | Specialist | 34 Monticello Dr Ne, Albuquerque, NM 87123-9601 | 2016-07-01 |
| 1881054583 | Tlc Therapeutics LLC | Specialist | 2708 San Mateo Blvd Ne, Albuquerque, NM 87110-3160 | 2016-02-24 |
| 1497145940 | Elevate: Performance Health Wellness | Specialist | 3901 Singer Blvd Ne, Suite B, Albuquerque, NM 87109-5862 | 2015-02-04 |
| 1336541184 | Thomas Lopez I | Specialist | 4000 Edith Blvd Ne, Albuquerque, NM 87107-2222 | 2014-09-24 |
| 1558787267 | Erica Saldana | Specialist | 5801 Jones Pl Nw, Albuquerque, NM 87120-2003 | 2014-03-05 |
| 1164851382 | Djaa Tlhenai Medicine Lodge | Specialist | 111 Carlisle Blvd Se, Albuquerque, NM 87106-1427 | 2013-11-07 |
| 1912333139 | George Richard Louderbough | Specialist | 7321 Avenida La Costa Ne, Albuquerque, NM 87109-3900 | 2013-09-19 |
| 1821420738 | Advocates of New Mexico, LLC | Specialist | 230 Adams St Se Ste C, Albuquerque, NM 87108-2805 | 2013-08-01 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87102 |
Please comment or provide details below to improve the information on JACKIE E CONNALLY.
| 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.