MISS JACQUELINE FRANCINE MEDINA (NPI# 1912297300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912297300 |
| Entity Type | Individual |
| Full Name | MISS JACQUELINE FRANCINE MEDINA |
| Other Name | MISS JACQUELINE FRANCINE MEDINA |
| Credential | CAC II |
| Practice Address |
2265 Lava Ln Alamosa CO 81101-3578 |
| Mailing Address |
1301 Ross Ave Alamosa CO 81101-3541 |
| Practice Telephone | 7195895176 |
| Mailing Telephone | 7199373394 |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2011-04-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 7185 | CO | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679718514 | Jacqueline Medina | Dentist | 515 Delaware St Se Fl 6, Minneapolis, MN 55455-0357 | 2008-12-05 |
| 1104431220 | Jacqueline Medina | Behavioral Analyst | 1500 S Haven Ave Ste 250, Ontario, CA 91761-2973 | 2020-09-15 |
| 1295120954 | Jacqueline Medina | Counselor | 358 E 149th St, Bronx, NY 10455-3901 | 2015-03-31 |
| Street Address |
2265 LAVA LN |
| City | ALAMOSA |
| State | CO |
| Zip Code | 81101-3578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720296460 | James Wayne Steelman | Counselor | 2265 Lava Ln, Alamosa, CO 81101-3578 | 2007-05-18 |
| 1356963136 | Crossroads' Turning Points | Clinic/Center | 2265 Lava Ln, Alamosa, CO 81101-3578 | 2020-05-14 |
| 1366064149 | Crossroads' Turning Points, Inc. | Clinic/Center | 2265 Lava Ln, Alamosa, CO 81101-3578 | 2020-05-14 |
| 1184185936 | Debraw Michelle Owens | Licensed Practical Nurse | 2265 Lava Ln, Alamosa, CO 81101-3578 | 2019-03-26 |
| 1962809020 | Kimberly Ann Canty | Counselor | 2265 Lava Ln, Alamosa, CO 81101-3578 | 2014-12-04 |
| 1063756617 | Crossroads Turning Points, Inc. | Counselor | 2265 Lava Ln, Alamosa, CO 81101-3578 | 2012-11-20 |
| 1790081552 | Biseida Duque | Counselor | 2265 Lava Ln, Alamosa, CO 81101-3578 | 2011-01-26 |
| 1710181284 | Rosario Ramirez | Counselor | 2265 Lava Ln, Alamosa, CO 81101-3578 | 2007-06-11 |
| 1003018623 | Raymond Moses Salazar | Counselor | 2265 Lava Ln, Alamosa, CO 81101-3578 | 2007-06-05 |
| 1184827511 | Patricia Chavez | Counselor | 2265 Lava Ln, Alamosa, CO 81101-3578 | 2007-06-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962909325 | Tiffanie Nicole Hoover | Nurse Practitioner | Slv Health, 106 Blanca Ave, Alamosa, CO 81101 | 2018-04-11 |
| 1629503669 | Early Oral Health Interception LLC | Dental Hygienist | 235 Carson Avenue, Alamosa, CO 81101 | 2017-04-27 |
| 1477917391 | Mary Sawyer | Nurse Practitioner | San Luis Valley Health106 Blanca Ave, Alamosa, CO 81101 | 2016-04-06 |
| 1508221276 | Kendal W Humes | Counselor | 1460 W 8th Street, Unit 13, Alamosa, CO 81101 | 2015-12-23 |
| 1689096422 | Julia Toczek | Counselor | 8745 County Road 9s, Alamosa, CO 81101 | 2014-01-14 |
| 1275883365 | Michelle Marie Craver | Counselor | 8745 County Road 9 South, Alamosa, CO 81101 | 2012-09-15 |
| 1417193079 | Slv Eye Docs, LLC | Optometrist | 706 Del Sol Dr, Alamosa, CO 81101 | 2008-12-31 |
| 1770753154 | Huh Inc | Hearing Instrument Specialist | 2101 Main St., Ste C Ears 2 U Hearing Aid Services, Alamosa, CO 81101 | 2008-03-03 |
| 1215139613 | Valley-wide Health System, Inc. | Pharmacist | 1710 1st Street, Alamosa, CO 81101 | 2007-06-05 |
| 1821204116 | Valerie Stephanie Gurule-duran | Counselor | 8745 Cr 9 South, Alamosa, CO 81101 | 2007-05-15 |
| Find all providers in zip 81101 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760922884 | Ascension Counseling & Transformation | Community/Behavioral Health | 811 Main St, Alamosa, CO 81101-2541 | 2017-03-08 |
| 1871891218 | San Luis Valley Community Mental Health Center | Community/Behavioral Health | 8745 County Road 9 S, Alamosa, CO 81101-9610 | 2011-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407687 | Rrk Enterprise | Community/Behavioral Health | 4300 Kalamath St, Denver, CO 80211-2417 | 2020-11-08 |
| 1558960922 | Warrior Tree Counseling, LLC | Community/Behavioral Health | 29 Bluebird Ln, Bailey, CO 80421-2005 | 2020-10-18 |
| 1760080386 | Adventure Learning Behavioral Interventions | Community/Behavioral Health | 5423 Spoked Wheel Dr, Colorado Springs, CO 80923-8741 | 2020-10-15 |
| 1831797562 | Cairn Counseling | Community/Behavioral Health | 1475 W Dakota Ave, Denver, CO 80223-2008 | 2020-10-14 |
| 1649887035 | Neuropsychological Assessments of Colorado, Professional LLC | Community/Behavioral Health | 7105 S Titus St, Aurora, CO 80016-7560 | 2020-09-29 |
| 1558977272 | Chrysalis Continuing Care, LLC | Community/Behavioral Health | 3254 Larimer St, Denver, CO 80205-2314 | 2020-09-17 |
| 1194330928 | Michelle Garcia Lmft | Community/Behavioral Health | 304 Albion Way, Fort Collins, CO 80526-3238 | 2020-09-09 |
| 1326651621 | Kuumba Therapy, LLC | Community/Behavioral Health | 2376 Central Park Blvd, Ste 100, Denver, CO 80238 | 2020-08-26 |
| 1942818869 | Naomi Victoria Akwei-esterline | Community/Behavioral Health | 2640 W 26th Ave, Suite 217, Denver, CO 80211 | 2020-07-16 |
| 1073139770 | Kjs Counseling and Consulting | Community/Behavioral Health | 41 Tassels Loop, Breckenridge, CO 80424-8814 | 2020-06-18 |
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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.