JENNIFER RANAE MADRID (NPI# 1386984870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386984870 |
| Entity Type | Individual |
| Full Name | JENNIFER RANAE MADRID |
| Credential | BA |
| Practice Address |
711 Barnes Ave La Junta CO 81050 |
| Practice Telephone | 7193845446 |
| Practice Fax Number | 7193845672 |
| Mailing Telephone | 7193845446 |
| Mailing Fax Number | 7193845672 |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2013-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619489200 | Jennifer Madrid | Behavior Technician | 1112 Bennington St, East Boston, MA 02128-1236 | 2017-11-03 |
| 1578912481 | Jennifer Lisa Madrid | Licensed Psychiatric Technician | 574 Formschlag Ln, Penngrove, CA 94951-8715 | 2016-06-10 |
| 1790398485 | Jennifer Madrid | Behavior Technician | 12276 San Jose Blvd Ste 508, Jacksonville, FL 32223-8618 | 2020-08-24 |
| Street Address |
711 BARNES AVE |
| City | LA JUNTA |
| State | CO |
| Zip Code | 81050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417945254 | Southeast Mental Health Services | Clinic/Center | 711 Barnes Ave, La Junta, CO 81050-2138 | 2005-10-06 |
| 1205446010 | Briana Christina Lynn | Social Worker | 711 Barnes Ave, La Junta, CO 81050-2138 | 2020-08-06 |
| 1841811254 | Brianne Dickinson | Registered Nurse | 711 Barnes Ave, La Junta, CO 81050-2138 | 2020-04-27 |
| 1306467717 | Angelique Chavez | Registered Nurse | 711 Barnes Ave, La Junta, CO 81050-2138 | 2020-04-27 |
| 1295366177 | Southeast Mental Health Services | Clinic/Center | 711 Barnes Ave, La Junta, CO 81050-2138 | 2020-01-30 |
| 1477195170 | Jonathon Michael Melendez | Counselor | 711 Barnes Ave, La Junta, CO 81050-2138 | 2019-10-14 |
| 1245880848 | Martin Valdez | Case Manager/Care Coordinator | 711 Barnes Ave, La Junta, CO 81050-2138 | 2019-09-16 |
| 1528611712 | Shana Se'rae Santistevan | Registered Nurse | 711 Barnes Ave, La Junta, CO 81050-2138 | 2019-07-17 |
| 1538624523 | Richard Keck | Case Manager/Care Coordinator | 711 Barnes Ave, La Junta, CO 81050-2138 | 2019-02-05 |
| 1396218475 | Austin Coy | Case Manager/Care Coordinator | 711 Barnes Ave, La Junta, CO 81050-2138 | 2019-01-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225658057 | Poudre Valley Medical Group, LLC | Internal Medicine | 2315 San Juan Avenue, La Junta, CO 81050 | 2020-04-22 |
| 1316589567 | Southeast Mental Health Services | Clinic/Center | 721 Barnes Ave, La Junta, CO 81050 | 2019-10-09 |
| 1164945127 | Susan Ann Workman | Clinical Nurse Specialist | 13 West Third Street, Room 111, La Junta, CO 81050 | 2017-07-21 |
| 1952774465 | Ryan T Anderson Ddc PC | Clinic/Center | 13 E 4th St., La Junta, CO 81050 | 2015-11-05 |
| 1083086524 | Ryan Taylor Anderson | Dentist | 13 East 4th Street, La Junta, CO 81050 | 2015-10-23 |
| 1902287329 | Shanna Kay Riley | Case Manager/Care Coordinator | 711 Barnes Ave., La Junta, CO 81050 | 2015-06-11 |
| 1548668593 | Joseph Wayne Lee | Licensed Practical Nurse | 1203 Holt Ln, Lajunta, CO 81050 | 2014-12-08 |
| 1730506809 | Down To Earth Dentistry, LLC. | Dentist | 17 W. 4th St., La Junta, CO 81050 | 2014-03-26 |
| 1154668275 | Arkansas Valley Hearing Center, Inc | Hearing Aid Equipment | 408 West 3rd St, La Junta, CO 81050 | 2013-01-09 |
| 1710223698 | Timothy Eugene Kelley | Counselor | 313 West Third Street, Suite 204, La Junta, CO 81050 | 2012-12-20 |
| Find all providers in zip 81050 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902287329 | Shanna Kay Riley | Case Manager/Care Coordinator | 711 Barnes Ave., La Junta, CO 81050 | 2015-06-11 |
| 1245880848 | Martin Valdez | Case Manager/Care Coordinator | 711 Barnes Ave, La Junta, CO 81050-2138 | 2019-09-16 |
| 1538624523 | Richard Keck | Case Manager/Care Coordinator | 711 Barnes Ave, La Junta, CO 81050-2138 | 2019-02-05 |
| 1396218475 | Austin Coy | Case Manager/Care Coordinator | 711 Barnes Ave, La Junta, CO 81050-2138 | 2019-01-10 |
| 1417428087 | Jared Bateman | Case Manager/Care Coordinator | 711 Barnes Ave, La Junta, CO 81050-2138 | 2018-12-07 |
| 1881160893 | Katherine Stettler | Case Manager/Care Coordinator | 711 Barnes Ave, La Junta, CO 81050-2138 | 2018-10-17 |
| 1407333230 | Larry Chatman | Case Manager/Care Coordinator | 711 Barnes Ave, La Junta, CO 81050-2138 | 2018-07-24 |
| 1629562863 | Kailey Collins | Case Manager/Care Coordinator | 711 Barnes Ave, La Junta, CO 81050-2138 | 2018-06-20 |
| 1548764038 | Tara Gail Braley | Case Manager/Care Coordinator | 711 Barnes Ave, La Junta, CO 81050-2138 | 2018-03-20 |
| 1366958209 | Jacquelynn Manly | Case Manager/Care Coordinator | 711 Barnes Ave, La Junta, CO 81050-2138 | 2017-12-14 |
| Find all providers in LA JUNTA | ||||
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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.