Individual provider Active NPI

Jodi Ann Hunley

  • Clinical Social Worker
  • Rio Rancho, NM
National Provider Identifier
1376879817
Registry record updated Oct 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
M-07137 Issued in NM
Practice address
4011 Barbara Loop SE Ste 103
Rio Rancho, NM 87124-1040
Phone
(505) 891-1583
NPI assigned
Oct 18, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X M-07137 NM Primary

Addresses

Primary practice location

4011 Barbara Loop SE Ste 103
Rio Rancho, NM 87124-1040

Mailing address

1836 Childers Dr NE
Albuquerque, NM 87112-2826
Phone (505) 459-8957

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
M-07137NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Enhancement Center, P.C. Clinical Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255824000000",
    "number": "1376879817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 CHILDERS DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122826",
            "telephone_number": "505-459-8957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 BARBARA LOOP SE STE 103",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241040",
            "telephone_number": "505-891-1583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNLEY",
        "first_name": "JODI",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-18",
        "last_updated": "2009-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "M-07137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.