JEANETTE EDWARDS (NPI# 1447490248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447490248 |
| Entity Type | Individual |
| Full Name | JEANETTE EDWARDS |
| Practice Address |
4950 Mcnutt Rd Santa Teresa NM 88063 |
| Mailing Address |
4950 Mcnutt Rd Santa Teresa NM 88008-9621 |
| Practice Telephone | 5758826200 |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2009-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
312335 | NM | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487758942 | Jeanette Marie Oglesby Edwards | Counselor | 4409 Maine St, Quincy, IL 62305-5849 | 2006-09-12 |
| 1144295643 | Jeanette Edwards | Pediatrics | 152 N Addison Ave, Ste 200, Elmhurst, IL 60126-2810 | 2006-02-20 |
| Street Address |
4950 MCNUTT RD |
| City | SANTA TERESA |
| State | NM |
| Zip Code | 88063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861745572 | Juliana Moran | Speech-Language Pathologist | 4950 Mcnutt Rd, Santa Teresa, NM 88063 | 2012-10-18 |
| 1659629939 | Lisa Marie Lopez | Local Education Agency (LEA) | 4950 Mcnutt Rd, Santa Teresa, NM 88008-9621 | 2012-08-17 |
| 1104173095 | Gadsden Independent School District | Local Education Agency (LEA) | 4950 Mcnutt Rd, Santa Teresa, NM 88008-9621 | 2012-08-09 |
| 1376819797 | Polly Curtis | Physical Therapist | 4950 Mcnutt Rd, Santa Teresa, NM 88008-9621 | 2012-03-29 |
| 1205102621 | Louise Seiler | Speech-Language Pathologist | 4950 Mcnutt Rd, Santa Teresa, NM 88008-9621 | 2012-03-29 |
| 1871869768 | Guadalupe Nevarez | Social Worker | 4950 Mcnutt Rd, Santa Teresa, NM 88008-9621 | 2012-03-26 |
| 1093080269 | Bienestar Family Counseling Center, LLC | Counselor | 4950 Mcnutt Rd, Santa Teresa, NM 88008-9621 | 2012-03-20 |
| 1750667044 | Veronica Bautista | Speech-Language Pathologist | 4950 Mcnutt Rd, Santa Teresa, NM 88008-9621 | 2011-10-31 |
| 1770869067 | Marisa Herrera | Speech-Language Pathologist | 4950 Mcnutt Rd, Santa Teresa, NM 88008-9621 | 2011-10-31 |
| 1215233291 | Karen Springer | Occupational Therapist | 4950 Mcnutt Rd, Santa Teresa, NM 88008-9621 | 2011-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962801258 | Kristina Sutton | Speech-Language Pathologist | 4950 Mcnut Road, Sunland Park, NM 88063 | 2014-08-22 |
| 1609147313 | Sonia Maldonado | Counselor | 101 Maguey Court, Suite 1, Sunland Park, NM 88063 | 2012-01-26 |
| 1902027501 | Marsha Brand | Speech-Language Pathologist | 4950 Mcnutt Road, Sunland Park, NM 88063 | 2007-05-01 |
| 1275658254 | Irma Carrasco | Specialist | 4950 Mc Nutt Rd, Anthony, NM 88063 | 2007-03-20 |
| 1881065944 | Srikanthi Saladi | Dentist | 2625 Mcnutt Rd, Sunland Park, NM 88063 | 2015-10-15 |
| 1497162929 | Leticia Castillo | Social Worker | 2625 Mcnutt Rd, Sunland Park, NM 88063 | 2014-07-16 |
| 1477968246 | Anne Roberti | Family Medicine | 2625 Mcnutt Rd, Sunland Park, NM 88063 | 2014-06-30 |
| 1922449560 | Sucharitha Meka | Family Medicine | 2625 Mcnutt Rd, Sunland Park, NM 88063 | 2013-07-11 |
| 1831461243 | Maria Lourdes Torres | Community Health Worker | 3465 Mcnutt Rd, Sunland Park, NM 88063 | 2012-01-31 |
| 1326350208 | Cynthia Rangel-olguin | Social Worker | 2625 Mcnutt Rd, Sunland Park, NM 88063 | 2010-07-08 |
| Find all providers in zip 88063 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831703701 | Cara Jean Burrola | Psychologist | 1111 Capitan St Nw, Los Lunas, NM 87031-6909 | 2020-09-08 |
| 1619528510 | Heather Scott | Psychologist | Highway 64, Old High School Road, Shiprock, NM 87420 | 2019-09-23 |
| 1548826829 | Stephanie Trujillo | Psychologist | 2810 N. Swan St., Silver City, NM 88061 | 2019-05-13 |
| 1003384181 | Patricia Keeler | Psychologist | # 50 County Rd. 13, Cuba, NM 87013 | 2018-11-07 |
| 1427562107 | Tascha Just | Psychologist | 1 Sunlit Dr E, Santa Fe, NM 87508-8993 | 2017-11-16 |
| 1164949780 | Christine S. Park | Psychologist | 6020 Constitution Ave Ne Ste 4, Albuquerque, NM 87110-5931 | 2017-08-24 |
| 1982128641 | Krystal Marie Ruiz | Psychologist | 505 S. Main, Ste. 249, Las Cruces, NM 88001 | 2017-08-03 |
| 1700327384 | Anastacia Sena Jaramillo | Psychologist | 126 Silva Ave., Las Vegas, NM 87701 | 2017-03-15 |
| 1477004281 | Ciarra Marrufo | Psychologist | 1100 W Bullock Ave, Artesia, NM 88210-2342 | 2016-10-17 |
| 1346697026 | Mary E. Sawyers, Ma, Lpcc | Psychologist | 1200 N White Sands Blvd Ste 118, Alamogordo, NM 88310-6774 | 2016-05-23 |
| Find all providers with the same taxonomy | ||||
| City | SANTA TERESA |
| Zip Code | 88063 |
Please comment or provide details below to improve the information on JEANETTE EDWARDS.
| 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.