DAVID GEORGE JUBB (NPI# 1134686561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134686561 |
| Entity Type | Individual |
| Full Name | DAVID GEORGE JUBB |
| Practice Address |
428 Los Lentes Rd Se Los Lunas NM 87031-6018 |
| Mailing Address |
301 S Camino Del Pueblo Bernalillo NM 87004-6276 |
| Practice Telephone | 5058653350 |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2019-02-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | 900 | NM | Other Service Providers |
| Street Address |
428 LOS LENTES RD SE |
| City | LOS LUNAS |
| State | NM |
| Zip Code | 87031-6018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952507493 | Eleanor B. Van Inwegen | Counselor | 428 Los Lentes Rd Se, Los Lunas, NM 87031 | 2007-06-22 |
| 1144734211 | Jennifer Otero | Case Manager/Care Coordinator | 428 Los Lentes Rd Se, Los Lunas, NM 87031-6018 | 2017-11-27 |
| 1760930515 | Candace Stoughton | Social Worker | 428 Los Lentes Rd Se, Los Lunas, NM 87031-6018 | 2016-09-21 |
| 1447631742 | Christian Readmond | Case Manager/Care Coordinator | 428 Los Lentes Rd Se, Ste 3, Los Lunas, NM 87031-6018 | 2015-06-11 |
| 1053724682 | Jesse Ortega | Case Manager/Care Coordinator | 428 Los Lentes Rd Se, Los Lunas, NM 87031-6831 | 2014-06-11 |
| 1033433388 | Cynthia Power Manning | Counselor | 428 Los Lentes Rd Se, Los Lunas, NM 87031-6831 | 2010-03-16 |
| 1578797361 | Mink Genereux Price | Counselor | 428 Los Lentes Rd Se, Los Lunas, NM 87031-6831 | 2009-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407466212 | Juanita Arcelia Flores-hull | Registered Nurse | 19670 Highway 314, Belen, NM 87031 | 2020-08-06 |
| 1184267171 | Nicole Andrea Bassett | Registered Nurse | 236 Don Pasqual Rd, Los Lunas, NM 87031 | 2019-10-22 |
| 1922649359 | Darrel Thompson | Physical Therapist | 2211 Main St, Ne, Los Lunas, NM 87031 | 2019-10-07 |
| 1407415235 | Brittany Leigh Dow | Family Medicine | 328 Main St Sw, Los Lunas, NM 87031 | 2019-06-05 |
| 1942764162 | Christine Beevers | Occupational Therapy Assistant | 310 Bonita Vista Blvd, Los Lunas, NM 87031 | 2019-01-23 |
| 1669953105 | Patricia A Ziehl | Occupational Therapy Assistant | 119 Luna Ave., Los Lunas, NM 87031 | 2018-08-23 |
| 1922500776 | Mellisa Marie Everett | Massage Therapist | 3414 Nm- 47, Los Lunas, NM 87031 | 2018-03-07 |
| 1831699917 | Nachelle Lynn Pell | Registered Nurse | 310 Bonita Vista, Los Lunas, NM 87031 | 2018-02-15 |
| 1053829135 | Valencia Denise Jackson | Registered Nurse | 46 Chacon Rd., Los Lunas, NM 87031 | 2018-01-11 |
| 1548777972 | Aja Santana Armijo | Speech-Language Pathologist | 46 Chacon Blvd., Los Lunas, NM 87031 | 2018-01-08 |
| Find all providers in zip 87031 | ||||
| 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 |
|---|---|---|---|---|
| 1588047930 | Michael Robert Martinez | Peer Specialist | 1921 Camino Rustica Sw, Los Lunas, NM 87031-8121 | 2015-07-02 |
| 1144614843 | Rochelle Alvarado | Peer Specialist | 549 Gerald Chavez Ln Ne, Los Lunas, NM 87031-8754 | 2015-03-20 |
| 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 |
| 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.