JEANNETTE ELENA DUNGAN (NPI# 1699925594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699925594 |
| Entity Type | Individual |
| Full Name | JEANNETTE ELENA DUNGAN |
| Practice Address |
505 N. Main Street Ste. 249 Las Cruces NM 88001 |
| Mailing Address |
505 S Main St Ste 249 Las Cruces NM 88001-1243 |
| Practice Telephone | 5755279430 |
| Mailing Telephone | 5755275823 |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2017-05-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
329968 | NM | Behavioral Health & Social Service Providers |
| Street Address |
505 N. MAIN STREET STE. 249 |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020044 | Three Crosses Regional Hospital LLC | General Acute Care Hospital | 2560 Samaritan Drive, Las Cruces, NM 88001 | 2019-12-17 |
| 1760961908 | Halcyon Health of The Southwest, LLC | Nurse Practitioner | 1355 California Ave Ste B, Las Cruces, NM 88001 | 2018-08-08 |
| 1255818530 | Lago Claro, LLC | Counselor | 2410 S. Espina St, Las Cruces, NM 88001 | 2018-07-19 |
| 1407371818 | Elijah Daniel Perez | Behavior Technician | 1535 Myrtle Ave, Las Cruces, NM 88001 | 2017-08-07 |
| 1982128641 | Krystal Marie Ruiz | Psychologist | 505 S. Main, Ste. 249, Las Cruces, NM 88001 | 2017-08-03 |
| 1457886913 | Mathew Petersen Dds PC | Dentist | 2001 E. Lohman Ave. Suite 121, Las Cruces, NM 88001 | 2017-04-21 |
| 1801343439 | Celia Holmes | Registered Nurse | 505 S Main, Ste 249, Las Cruces, NM 88001 | 2016-09-01 |
| 1427420223 | Sara Guidetti | Family Medicine | 3080 Breland Drive, Las Cruces, NM 88001 | 2015-10-20 |
| 1679987234 | Maria De Jesus Martinez | Nurse Practitioner | 1170 N. Solano Ste A, Las Cruces, NM 88001 | 2014-06-11 |
| 1851701494 | Viola E Garcia | Case Manager/Care Coordinator | 100 W Griggs, Las Cruces, NM 88001 | 2014-05-05 |
| Find all providers in zip 88001 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982128641 | Krystal Marie Ruiz | Psychologist | 505 S. Main, Ste. 249, Las Cruces, NM 88001 | 2017-08-03 |
| 1689903569 | Leticia Mora | Psychologist | 402 West Court Ave, Las Cruces, NM 88005-2530 | 2009-12-23 |
| 1205443835 | Jaimie Dawn Jones | Psychologist | 505 S Main St Ste 249, Las Cruces, NM 88001-1243 | 2020-09-28 |
| 1528692324 | Tahnee Poppy | Psychologist | 505 S Main St, Las Cruces, NM 88001-1206 | 2020-03-02 |
| 1205467776 | Sandra Guzman | Psychologist | 505 S Main St Ste 249, Las Cruces, NM 88001-1243 | 2020-02-03 |
| 1649812751 | Yvonne Dominguez | Psychologist | 505 S Main St Ste 249, Las Cruces, NM 88001-1243 | 2019-10-09 |
| 1558903666 | Cristina Villa | Psychologist | 505 S Main St Ste 249, Las Cruces, NM 88001-1243 | 2019-10-09 |
| 1982253399 | Blanca Alicia Garcia | Psychologist | 505 S Main St Ste 249, Las Cruces, NM 88001-1243 | 2019-09-09 |
| 1588212120 | Stephanie Newell | Psychologist | 505 S Main St Ste 249, Las Cruces, NM 88001-1243 | 2019-08-27 |
| 1578030912 | Tara Jill Morris | Psychologist | 505 S Main St Ste 249, Las Cruces, NM 88001-1243 | 2018-10-24 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88001 |
Please comment or provide details below to improve the information on JEANNETTE ELENA DUNGAN.
| 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.