TRIQUETRA THERAPY SERVICES, LLC (NPI# 1376185488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376185488 |
| Entity Type | Organization |
| Organization Name | TRIQUETRA THERAPY SERVICES, LLC |
| Practice Address |
19478 Highway 314 Belen NM 87002-8223 |
| Mailing Address |
1224 Silva Rd Belen NM 87002-7563 |
| Practice Telephone | 5053574385 |
| Practice Fax Number | 5052120642 |
| Mailing Telephone | 5053144966 |
| Mailing Fax Number | 5052120642 |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2019-10-09 |
| Authorized Official Name | DR. DENAI FORREST (PMHNP-BC) |
| Authorized Official Telephone | 5053574385 |
| Authorized Official Credential | DNP, CNP, PMHNP- |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
19478 HIGHWAY 314 |
| City | BELEN |
| State | NM |
| Zip Code | 87002-8223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023222635 | Barbara Jeanne Smith | Social Worker | 19478 Highway 314, Belen, NM 87002-8223 | 2007-05-10 |
| 1447734165 | Denai Lynn Forrest | Nurse Practitioner | 19478 Highway 314, Belen, NM 87002-8223 | 2018-09-19 |
| 1376964841 | Mandala Group Inc. | Social Worker | 19478 Highway 314, Belen, NM 87002-8223 | 2013-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871124776 | Katie Dianna Noblin | Behavior Technician | 91 Lopez Road, Belen, NM 87002 | 2020-01-29 |
| 1093356214 | Sina Medical LLC | Clinic/Center | 386 Rio Communities Blvd, Rio Communities, NM 87002 | 2019-09-30 |
| 1962972505 | Candice Saavedra | Counselor | 2443 Hwy 47, Belen, NM 87002 | 2018-11-27 |
| 1124505201 | Mark Moriarty | Physician Assistant | 609 S Christopher Road, Belen, NM 87002 | 2018-07-23 |
| 1922504117 | Heart & Soul of Nm, Inc | Social Worker | 1300 East River Rd, Apt B, Belen, NM 87002 | 2018-04-05 |
| 1841717865 | Jacque Schneider | Registered Nurse | 19670 Hwy 314, Belen, NM 87002 | 2017-08-30 |
| 1013458892 | Sharlene Lopez | Behavior Technician | 1442 S Hwy 116, Belen, NM 87002 | 2017-03-14 |
| 1770020422 | Katie Jiron | Physical Therapist | 325 S Main St Ste A, Belen, NM 87002 | 2017-01-19 |
| 1275954364 | Leanne Fyfe Armstrong | Registered Nurse | 520 North Main St, Belen, NM 87002 | 2013-12-17 |
| 1912259821 | Recovery Services of New Mexico | Clinic/Center | 2443 Highway 47, Belen, NM 87002 | 2012-10-03 |
| Find all providers in zip 87002 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447734165 | Denai Lynn Forrest | Nurse Practitioner | 19478 Highway 314, Belen, NM 87002-8223 | 2018-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151116 | Lauren Jones Sparks | Nurse Practitioner | 9 Calle Venado, Santa Fe, NM 87506-0153 | 2020-10-14 |
| 1013524727 | Clarissa Juarez, LLC | Nurse Practitioner | 3900 Juan Tabo Blvd Ne Ste 4, Albuquerque, NM 87111-3978 | 2020-09-26 |
| 1417573338 | Awareness Integration LLC | Nurse Practitioner | 2101 Golf Course Rd Se Ste D, Rio Rancho, NM 87124-1760 | 2020-06-17 |
| 1053933721 | Canu Health, LLC | Nurse Practitioner | 2621 Cutler Ave Ne, Albuquerque, NM 87106-2511 | 2020-05-15 |
| 1477173896 | Diane Johnston, Pmhnp, LLC | Nurse Practitioner | 1619 Villa Strada, Santa Fe, NM 87506-4512 | 2020-04-27 |
| 1245869130 | Indigo Psychiatric Services | Nurse Practitioner | 609 Gold Ave Sw Ste 1-c, Albuquerque, NM 87102-3119 | 2020-04-03 |
| 1912534058 | Meredith Gamez | Nurse Practitioner | 5503 Grove Dr, Sunland Park, NM 88063-9594 | 2020-03-26 |
| 1619516358 | Permian Basin Brain Works Inc | Nurse Practitioner | 1601 N Turner St Ste 405, Hobbs, NM 88240-4331 | 2019-12-28 |
| 1194388496 | Anne E. Galanis | Nurse Practitioner | 100 Deputy Dean Miera Dr Sw: Bernalillo County Metropol, Albuquerque, NM 87151 | 2019-04-22 |
| 1689237380 | Bianca Lopez, LLC | Nurse Practitioner | 224 Anthony Dr, Anthony, NM 88021-9366 | 2019-04-17 |
| 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.