Jacquel Jones

Individual provider Active NPI Case Manager/Care Coordinator · Santa Fe, NM

NPI 1104569557 · NPPES record last updated Apr 14, 2022

Key facts

NPI
1104569557
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
6 Calle Medico Ste 1
Santa Fe, NM 87505-4761
Phone
(505) 273-4668
Fax
(505) 273-4669
NPI assigned
Apr 14, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Krossroads Integrative Health and Recovery Solutions Inc Case Manager/Care Coordinator Current
since Sep 21, 2022
Accepting new patients
Noesis Integrative Health Inc Current
since Apr 17, 2022
Accepting new patients

Locations

6 Calle Medico
Ste 1
Santa Fe, NM 87505
Phone (505) 273-4668

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

6 Calle Medico Ste 1
Santa Fe, NM 87505-4761

Mailing address

PO Box 94508
Albuquerque, NM 87199-4508
Phone (505) 273-4668

Other providers in Santa Fe, NM

All providers in Santa Fe, NM · Case Manager/Care Coordinator in New Mexico

Sources for this page

Verify at the official NPI Registry.