MS. ANNA L JACKARD (NPI# 1255498051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255498051 |
| Entity Type | Individual |
| Full Name | MS. ANNA L JACKARD |
| Credential | MA LADAC |
| Practice Address |
15 Oak St Clayton NM 88415-2530 |
| Mailing Address |
Po Box 541 Clayton NM 88415-0541 |
| Practice Telephone | 5053749533 |
| Practice Fax Number | 5053748149 |
| Mailing Telephone | 5053749533 |
| Mailing Fax Number | 5053748149 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
3548 | NM | Behavioral Health & Social Service Providers |
| Street Address |
15 OAK ST |
| City | CLAYTON |
| State | NM |
| Zip Code | 88415-2530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730596537 | Jody Martinez | Counselor | 15 Oak St, Clayton, NM 88415-2530 | 2014-07-14 |
| 1124467915 | Amber Bullington | Counselor | 15 Oak St, Clayton, NM 88415-2530 | 2013-06-14 |
| 1427496181 | Angela Montoya | Counselor | 15 Oak St, Clayton, NM 88415-2530 | 2013-06-04 |
| 1184963050 | Sidney Poling | Counselor | 15 Oak St, Clayton, NM 88415-2530 | 2013-02-12 |
| 1548507809 | Brianna Irwin | Counselor | 15 Oak St, Clayton, NM 88415-2530 | 2013-01-07 |
| 1457696676 | Emily Martin | Counselor | 15 Oak St, Clayton, NM 88415-2530 | 2012-11-28 |
| 1831443324 | Jennifer Romero | Counselor | 15 Oak St, Clayton, NM 88415-2530 | 2012-11-05 |
| 1811243579 | Micah Wolffarth | Counselor | 15 Oak St, Clayton, NM 88415-2530 | 2012-07-31 |
| 1093085219 | Sara Jo Emery | Counselor | 15 Oak St, Clayton, NM 88415-2530 | 2012-01-04 |
| 1508140633 | Susan Marie Fitzsimmons | Counselor | 15 Oak St, Clayton, NM 88415-2530 | 2011-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578954384 | Jeremy Sanchez | Counselor | 17 B South Second St, Clayton, NM 88415 | 2015-02-16 |
| 1841697901 | Morgan Scott | Counselor | 17 B S. Second St, Clayton, NM 88415 | 2014-12-04 |
| 1891028858 | Mary Blan | Counselor | 15 Oak Street, Clayton, NM 88415 | 2009-09-09 |
| 1487887774 | Krista R. Trujillo | Counselor | 17 B S Second St, Clayton, NM 88415 | 2009-09-02 |
| 1295918324 | Southwest Family Medical Care, Inc. | Clinic/Center | 200 Court St., Clayton, NM 88415 | 2007-12-12 |
| 1447344585 | Town of Clayton | Ambulance | 1 Chestnut Street, Clayton, NM 88415 | 2006-10-03 |
| 1699871426 | Michelle A Paquin | Nurse Practitioner | 185 Dr. Michael Jenkins Road, Cms Medical Unit, Clayton, NM 88415 | 2006-09-16 |
| 1033213681 | Sharon L Gonzales | Specialist | 110 Walnut Street Office B, Clayton, NM 88415 | 2006-09-12 |
| 1114979275 | Gary D Longanecker | Counselor | 110 Walnut Street, Office B, Clayton, NM 88415 | 2006-05-17 |
| 1821048695 | Nilo Isidro Rivera | Internal Medicine | 314 North 3rd Av, Clayton, NM 88415 | 2006-05-11 |
| Find all providers in zip 88415 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447867999 | Pivotal Breakthrough Counseling Services, Pllc | Counselor | 604 E Front St # 1555, Clayton, NC 27520-2058 | 2020-09-29 |
| 1225643760 | Lorianne Toth | Counselor | 11 Beckett St, Clayton, NJ 08312-2408 | 2020-09-11 |
| 1043871924 | Shanice Monae Stephenson | Counselor | 604 E Front St Unit 1555, Clayton, NC 27528-0403 | 2019-06-22 |
| 1104309731 | Sarah Jonell Utley | Counselor | 1002 Amelia Station Way Apt 207, Clayton, NC 27520-9631 | 2018-09-10 |
| 1225584691 | Mary Ray-council | Counselor | 2011 Lillian Dr, Clayton, NC 27520-7717 | 2016-08-26 |
| 1902251408 | Maria Pena | Counselor | 2024 Cypress Ct, Clayton, NC 27520-8616 | 2016-05-03 |
| 1982071700 | Kimberly Thompson | Counselor | 71 Colburn Dr, Clayton, DE 19938-5508 | 2015-08-27 |
| 1528449931 | Brandon Woodard | Counselor | 922 Arrowhead Ter, Clayton, CA 94517-1237 | 2015-06-11 |
| 1689001133 | Robin Smith | Counselor | 2005 Olive Tree Ln, Clayton, NC 27520-3726 | 2013-09-30 |
| 1386909877 | Patricia Bock | Counselor | 9933 Hwy 70 East, Clayton, NC 27520 | 2012-07-10 |
| Find all providers in CLAYTON | ||||
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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.