JENNIFER INNIS (NPI# 1972623841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972623841 |
Entity Type | Individual |
Full Name | JENNIFER INNIS |
Practice Address |
1111 Menaul Blvd Ne Albuquerque NM 87107-1614 |
Mailing Address |
500 90th St Sw Albuquerque NM 87121-2545 |
Practice Telephone | 5054595913 |
Enumeration Date | 2007-04-02 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | NM | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144465485 | Jennifer Renee Innis | Physical Therapy Assistant | 679 North Main Street, Salem, AR 72576 | 2008-12-15 |
Street Address |
1111 MENAUL BLVD NE |
City | ALBUQUERQUE |
State | NM |
Zip Code | 87107-1614 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114063328 | Mary Anne Becker | Speech-Language Pathologist | 1111 Menaul Blvd Ne, Albuquerque, NM 87107-1614 | 2007-01-29 |
1902328354 | Eric Hokanson Physical Therapy, LLC | Physical Therapist | 1111 Menaul Blvd Ne, Albuquerque, NM 87107-1614 | 2017-07-07 |
1134424732 | Sarah Marie Lancaster | Social Worker | 1111 Menaul Blvd Ne, Albuquerque, NM 87110 | 2011-01-13 |
1609170307 | Laura Baum White | Physical Therapist | 1111 Menaul Blvd Ne, Albuquerque, NM 87107-1614 | 2011-01-10 |
1407171630 | Leticia H Sotelo | Counselor | 1111 Menaul Blvd Ne, Albuquerque, NM 87107 | 2010-03-31 |
1376867838 | Angela Marie Valdez | Case Manager/Care Coordinator | 1111 Menaul Blvd Ne, Albuquerque, NM 87107-1614 | 2010-03-26 |
1205150844 | Melissa Dunworth | Day Training/Habilitation Specialist | 1111 Menaul Blvd Ne, Albuquerque, NM 87107 | 2010-03-25 |
1740504489 | Andrea Johnson | Counselor | 1111 Menaul Blvd Ne, Albuquerque, NM 87107-1614 | 2010-03-24 |
1629392303 | Stephanie Pino | Community Health Worker | 1111 Menaul Blvd Ne, Albuquerque, NM 87107-1614 | 2010-03-24 |
1093039737 | Kimberly Chavez | Community Health Worker | 1111 Menaul Blvd Ne, Albuquerque, NM 87107-1614 | 2010-03-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619589785 | Benjamin Argant | Behavior Technician | 331 Candelaria Road North East Suite A, Albuquerque, NM 87107 | 2020-08-20 |
1679138861 | Susan Luna, Lpcc LLC | Counselor | 3221 B Candelaria Ne, Albuquerque, NM 87107 | 2019-05-03 |
1407310881 | Eleanor Cloe Tibbetts | Speech-Language Pathologist | 7103 4th St. Nw Chatterbox Speech Therapy, Los Ranchos, NM 87107 | 2019-01-30 |
1386174829 | Triple D Medical Transportation, LLC. | Secured Medical Transport (VAN) | 2123 Menaul Blvd Ne Ste B, Albuquerque, NM 87107 | 2017-06-18 |
1487100715 | Kayleen Weinandt | Community/Behavioral Health | 3301 Los Arboles Ne, Albuquerque, NM 87107 | 2016-08-28 |
1811345549 | Inverse Medical, LLC | Non-emergency Medical Transport (VAN) | 1015 Cottonwood Dr. Suite J, Albuquerque, NM 87107 | 2016-06-03 |
1710349220 | Evolv Strong, LLC | Specialist/Technologist | 3201 Candelaria Rd Ne, Albuquerque, NM 87107 | 2016-03-23 |
1982072443 | Erik Robinson | Social Worker | 7801 Academy Road, Ne 2-200, Albueruque, NM 87107 | 2015-09-14 |
1033505763 | Sam Newmon Ma, Lpcc | Counselor | 320-h Osuna Rd Ne, Suite 4, Albuquerque, NM 87107 | 2015-04-09 |
1760896203 | Jocelyn Fiaschetti | Social Worker | 7704 4th Street Nw, Albuquerque, NM 87107 | 2014-06-12 |
Find all providers in zip 87107 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417504168 | Beautiful Transitions Consulting | Specialist | 9404 Casitas Ct Sw, Albuquerque, NM 87121-9482 | 2019-08-19 |
1952840191 | Odely Ortiz-vega | Specialist | 10582 Vista Bella Pl Nw, Albuquerque, NM 87114-3886 | 2017-02-21 |
1669824652 | Jeanette Marie Deanda | Specialist | 34 Monticello Dr Ne, Albuquerque, NM 87123-9601 | 2016-07-01 |
1881054583 | Tlc Therapeutics LLC | Specialist | 2708 San Mateo Blvd Ne, Albuquerque, NM 87110-3160 | 2016-02-24 |
1497145940 | Elevate: Performance Health Wellness | Specialist | 3901 Singer Blvd Ne, Suite B, Albuquerque, NM 87109-5862 | 2015-02-04 |
1336541184 | Thomas Lopez I | Specialist | 4000 Edith Blvd Ne, Albuquerque, NM 87107-2222 | 2014-09-24 |
1558787267 | Erica Saldana | Specialist | 5801 Jones Pl Nw, Albuquerque, NM 87120-2003 | 2014-03-05 |
1164851382 | Djaa Tlhenai Medicine Lodge | Specialist | 111 Carlisle Blvd Se, Albuquerque, NM 87106-1427 | 2013-11-07 |
1912333139 | George Richard Louderbough | Specialist | 7321 Avenida La Costa Ne, Albuquerque, NM 87109-3900 | 2013-09-19 |
1821420738 | Advocates of New Mexico, LLC | Specialist | 230 Adams St Se Ste C, Albuquerque, NM 87108-2805 | 2013-08-01 |
Find all providers in ALBUQUERQUE |
City | ALBUQUERQUE |
Zip Code | 87107 |
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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.