Awareness Integration LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

AWARENESS INTEGRATION LLC

Practice address

2101 Golf Course Rd SE Ste D
Rio Rancho, NM 87124-1760

Phone

(505) 228-2853

NPI assigned

Jun 17, 2020

Organization subpart

No

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

Authorized official

Name

Debra Joy Jaccard, CNP

Title

Owner

Phone

(505) 228-2853

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1417573338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 GOLF COURSE RD SE STE D",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241760",
            "telephone_number": "505-228-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 GOLF COURSE RD SE STE D",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241760",
            "telephone_number": "505-228-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWARENESS INTEGRATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "JACCARD",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-228-2853",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Austin-Oser, LMHC
• Authentic Healing Solutions
• Stella M Avena, PT
• Bill Ed Avery, D.D.S.
• Awakening Oasis LLC
• Santiago Marinez Ayala, MD
• Mindy Leigh Aycock, M.S.
• Abed Ayesh
• Sarah Ayoub
• B & B Chiropractic

• Psychiatric/Mental Health Nurse Practitioner in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.