JERICA LYNN NEALY (NPI# 1790268720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790268720 |
| Entity Type | Individual |
| Full Name | JERICA LYNN NEALY |
| Practice Address |
928 12th St Greeley CO 80631-4024 |
| Practice Telephone | 9703471330 |
| Mailing Telephone | 9703471330 |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2018-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
928 12TH ST |
| City | GREELEY |
| State | CO |
| Zip Code | 80631-4024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407844152 | Renee Rogers | Marriage & Family Therapist | 928 12th St, Greeley, CO 80631-4024 | 2005-10-06 |
| 1578179487 | North Range Behavioral Health | Clinic/Center | 928 12th St, Greeley, CO 80631-4024 | 2020-09-17 |
| 1104438852 | Elaina Trousil | Peer Specialist | 928 12th St, Greeley, CO 80631-4024 | 2020-08-22 |
| 1912557877 | Allyce M Torres | Social Worker | 928 12th St, Greeley, CO 80631-4024 | 2019-09-12 |
| 1568928927 | Paige Stavely | Community Health Worker | 928 12th St, Greeley, CO 80631 | 2019-02-11 |
| 1568935203 | Hanna Blake Driggers | Behavior Technician | 928 12th St, Greeley, CO 80631-4024 | 2019-01-04 |
| 1114499845 | Ashley Nichole Ellzey | Nurse's Aide | 928 12th St, Greeley, CO 80631-4024 | 2018-12-19 |
| 1285118539 | Marlae Moss | Social Worker | 928 12th St, Greeley, CO 80631-4024 | 2018-09-22 |
| 1427548221 | Teresa Lee Slack V | Peer Specialist | 928 12th St, Greeley, CO 80631-4024 | 2018-05-16 |
| 1669998894 | Nathaniel Michael Burrow | Counselor | 928 12th St, Greeley, CO 80631-4024 | 2017-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497395743 | Marcia Martinez | Peer Specialist | 1700 N 17th Ave, Greeley, CO 80631 | 2020-01-14 |
| 1073083036 | Ryan Lawhead | Specialist/Technologist | 270 Alles Dr. D, Butler Hancock Athletic Center, Greeley, CO 80631 | 2018-12-03 |
| 1447766647 | Patricia G Ferguson | Counselor | 14272 Wcr 72, Greeley, CO 80631 | 2017-12-26 |
| 1760902662 | Robert Anthony Rexroad | Counselor | 1300 N. 17th Avenue, Greeley, CO 80631 | 2017-06-21 |
| 1326577750 | Danielle Rodriguez | Psychologist | 1300 N. 17th Ave, Greeley, CO 80631 | 2017-06-08 |
| 1790157865 | Safeway | Pharmacy | 3526 W 10th Street, Greeley, CO 80631 | 2015-10-28 |
| 1245574508 | Jayme L Clapp | Counselor | 1407 8th Ave, Greeley, CO 80631 | 2012-11-26 |
| 1114246006 | Cynthia Melissa Gitler | Emergency Medicine | Banner Health, North Colorado Medical Center, 1601 18th Street, Greenley, CO 80631 | 2010-05-18 |
| 1942438023 | Khoi Dinh Le | Surgery | 1800 15th St., Suite 200, Greeley, CO 80631 | 2009-06-26 |
| 1174760011 | Darwin James Hargrave | Counselor | 912 9th Ave., #222, Greeley, CO 80631 | 2009-01-14 |
| Find all providers in zip 80631 | ||||
| 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 |
|---|---|---|---|---|
| 1932739679 | Melissa L Lucero | Peer Specialist | 222 23rd Ave, Greeley, CO 80631-1854 | 2020-01-22 |
| 1497395743 | Marcia Martinez | Peer Specialist | 1700 N 17th Ave, Greeley, CO 80631 | 2020-01-14 |
| 1477194454 | Ronna Jo Wellman | Peer Specialist | 8110 River Run Dr, Greeley, CO 80634-9389 | 2019-10-01 |
| 1871052993 | Laurie Ann Jones | Peer Specialist | 1025 14th St, Greeley, CO 80631-3866 | 2019-03-18 |
| 1497356976 | Jordyn Marie Sewald-evans | Peer Specialist | 1300 N 17th Ave, Greeley, CO 80631-9584 | 2020-11-03 |
| 1508465360 | Heather Marie Wilson | Peer Specialist | 1300 N 17th Ave, Greeley, CO 80631-9584 | 2020-10-22 |
| 1326652124 | Sarah Marie Swoape | Peer Specialist | 1300 N 17th Ave, Greeley, CO 80631-9584 | 2020-08-31 |
| 1104438852 | Elaina Trousil | Peer Specialist | 928 12th St, Greeley, CO 80631-4024 | 2020-08-22 |
| 1225640873 | Marissa Leigh Lucero I | Peer Specialist | 1300 N 17th Ave, Greeley, CO 80631-9584 | 2020-08-17 |
| 1780295295 | Lucinda Marie Mendoza | Peer Specialist | 1309 10th Ave, Greeley, CO 80631-3832 | 2020-08-10 |
| Find all providers in GREELEY | ||||
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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.