STEVEN MCKINNON (NPI# 1710512959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710512959 |
| Entity Type | Individual |
| Full Name | STEVEN MCKINNON |
| Credential | CPSW |
| Practice Address |
1524 Bishops Lodge Rd Santa Fe NM 87506 |
| Mailing Address |
Po Box 449 Tesuque NM 87574-0449 |
| Practice Telephone | 5059836158 |
| Mailing Telephone | 5059836158 |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2020-03-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 N Paseo De Onate, Espanola, NM 875322683 | 5052310652 | |
| 1160 Parkway Dr, Santa Fe, NM 875077322 | 5059836158 |
| Street Address |
1524 BISHOPS LODGE RD |
| City | SANTA FE |
| State | NM |
| Zip Code | 87506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679116669 | Amy Elisabeth Gordon | Counselor | 1524 Bishops Lodge Rd, B, Santa Fe, NM 87506 | 2019-10-22 |
| 1831677053 | Melissa Harper | Counselor | 1524 Bishops Lodge Rd, Santa Fe, NM 87506 | 2018-07-31 |
| 1154809374 | Samantha Ringer | Counselor | 1524 Bishops Lodge Rd, Santa Fe, NM 87506 | 2018-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073110920 | Nambe Pueblo | Clinic/Center | 16a Tayeh Huu U, Pueblo of Nambe, NM 87506 | 2020-10-05 |
| 1811543655 | Waltor Surgical Assisting | Specialist/Technologist, Other | 708 Luna Vista, Santa Fe, NM 87506 | 2019-08-16 |
| 1518447762 | Rosario Cismowski Escobedo | Behavior Technician | 17709a Hwy 84/285, Santa Fe, NM 87506 | 2018-08-17 |
| 1417440777 | Las Clinicas Del Norte Incorporated | Clinic/Center | 1797b St. Rd 502, Santa Fe, NM 87506 | 2018-06-12 |
| 1992297915 | Carnell D Horn II | Behavior Technician | 44 Paseo Encantado Sw, Santa Fe, NM 87506 | 2018-06-05 |
| 1689101594 | James M Mccaffery | Ophthalmology | 45 Violet Circle, Santa Fe, NM 87506 | 2017-05-23 |
| 1912119298 | St Vincent Hospital | General Acute Care Hospital | 5 Petroglyph Circle, Suite A, Pojoaque, NM 87506 | 2007-05-07 |
| 1881733574 | Kathleen Ohringer Paster | Social Worker | 53 Heartstone Drive, Santa Fe, NM 87506 | 2007-02-06 |
| 1831269448 | Roberta R Goodman | Counselor | 187 Tesuque Village Rd, Tesuque, NM 87506 | 2006-11-09 |
| 1598841769 | Jude Pardee | Psychologist | 217 Camino Del Rincon, Santa Fe, NM 87506 | 2006-10-31 |
| Find all providers in zip 87506 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871968149 | Judith Bailie | Peer Specialist | 2325 Cerrillos Rd, Santa Fe, NM 87505-3373 | 2015-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306049 | Sherri Rhoten | Peer Specialist | 5535 Rockhound Rd Se, Deming, NM 88030-8247 | 2020-08-12 |
| 1154942746 | Samantha Ashcroft | Peer Specialist | 2801 Missouri Ave Ste 22, Las Cruces, NM 88011-5062 | 2020-05-05 |
| 1356976674 | Amanda Abeyta | Peer Specialist | 1000 N Paseo De Onate, Espanola, NM 87532-2683 | 2020-03-06 |
| 1164069662 | Rachel Pyne | Peer Specialist | 205 Bertha Rd Ste B, Taos, NM 87571-5188 | 2019-12-03 |
| 1417591116 | George Gamon | Peer Specialist | 224 Anthony Dr Ste B, Anthony, NM 88021-9366 | 2019-11-05 |
| 1467094029 | Donovan Lucero | Peer Specialist | 7 Rio San Jose Dr, Laguna, NM 87026 | 2019-10-15 |
| 1558820043 | Gabriela C Ochoa | Peer Specialist | 2801 Missouri Ave Ste 38, Las Cruces, NM 88011-9151 | 2019-03-14 |
| 1053882795 | Mateo R Duran | Peer Specialist | 10519 Trieste Ct Nw, Albuquerque, NM 87114-5187 | 2018-12-06 |
| 1194229278 | Michael Townsend | Peer Specialist | 3 Cedar Rd, Algodones, NM 87001 | 2018-03-22 |
| 1508233594 | Jennifer Tenorio | Peer Specialist | 176 Sunrise Rd, San Felipe Pb, NM 87001-8019 | 2015-08-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on STEVEN MCKINNON.
| 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.