SHAWNA B RILEY (NPI# 1790131977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790131977 |
| Entity Type | Individual |
| Full Name | SHAWNA B RILEY |
| Credential | LADAC |
| Practice Address |
1313 Mission Ave Farmington NM 87401 |
| Mailing Address |
6709 Pecos St Farmington NM 87402-5171 |
| Practice Telephone | 5053277218 |
| Practice Fax Number | 5053270828 |
| Mailing Telephone | 5053205553 |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2016-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0154441 | NM | Behavioral Health & Social Service Providers |
| Street Address |
1313 MISSION AVE |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205485844 | Trinity John Begay | Counselor | 1313 Mission Ave, Farmington, NM 87401 | 2019-09-06 |
| 1770005589 | Leah Marie Estrada | Counselor | 1313 Mission Ave, Farmington, NM 87401 | 2017-07-13 |
| 1871015768 | Susanna Joy Mcgee | Counselor | 1313 Mission Ave, Farmington, NM 87401 | 2017-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035192 | Jaylene Miller | Behavior Technician | 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 | 2020-08-28 |
| 1255940326 | John Andrew Martinez | Behavioral Analyst | 211 N Auburn, Farmington, NM 87401 | 2020-07-24 |
| 1598304990 | Chasitity Beulah Nez | Behavior Technician | 37 Rd 7101 #127, Farmington, NM 87401 | 2020-01-02 |
| 1205478575 | Micah Magee | Speech-Language Pathologist | Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 | 2019-10-08 |
| 1831659754 | Lelilah Todacheene | Social Worker | 1204 Camina Real, Farmington, NM 87401 | 2019-03-25 |
| 1306323555 | Litany of Life | Counselor | 1010 Ridgeway Place, Farmington, NM 87401 | 2018-07-20 |
| 1093291213 | Brittany Bigham | Nurse Practitioner | 1001 W Broadway Ste E, Farmington, NM 87401 | 2018-07-11 |
| 1528556305 | Hairoun Home Health | Home Health | 1200 East 20th Street, Farmington, NM 87401 | 2018-04-26 |
| 1003338732 | Silver Tongue Speech & Voice, LLC | Clinic/Center | 3001 Northridge Dr Ste C, Farmington, NM 87401 | 2017-07-14 |
| 1902256621 | Capacity Builders Inc | Taxi | 418 W Broadway, Farmington, NM 87401 | 2016-06-14 |
| Find all providers in zip 87401 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265077275 | Jerrald Tom James | Counselor | 475 E 20th St Ste D, Farmington, NM 87401-2132 | 2019-11-13 |
| 1063071041 | Daphnie Cummins | Counselor | 653 W Arrington St, Farmington, NM 87401-8513 | 2019-06-12 |
| 1306323555 | Litany of Life | Counselor | 1010 Ridgeway Place, Farmington, NM 87401 | 2018-07-20 |
| 1801327614 | Holly Gregory | Counselor | 216 E Apache St, Farmington, NM 87401-6904 | 2017-03-23 |
| 1306382007 | Lisa Lippold | Counselor | 20333 Enright Way, Farmington, MN 55024-2022 | 2017-01-18 |
| 1922455609 | Second Chance Counseling, LLC | Counselor | 719 W Apache St, Farmington, NM 87401-5512 | 2016-05-23 |
| 1437516911 | Ann Cushing | Counselor | 253 Fairbanks Rd, Farmington, ME 04938-5723 | 2016-01-28 |
| 1922499136 | Masada House Inc | Counselor | 610 N Dustin Ave, Farmington, NM 87401 | 2015-02-10 |
| 1194128603 | Ag Counseling LLC | Counselor | 769 Farmington Ave, Farmington, CT 06032-2310 | 2014-09-29 |
| 1942544630 | Mark Ernest Wardlow Jr. | Counselor | 1528 Highway H, Farmington, MO 63640-7042 | 2012-11-19 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 87401 |
Please comment or provide details below to improve the information on SHAWNA B RILEY.
| 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.