AWARENESS INTEGRATION LLC
NPI 1194091603
Nurse Practitioner - Psychiatric/Mental Health in Albuquerque, NM

Active since March 29, 2012
219 SIERRA DR SE, UNIT A, ALBUQUERQUE, NM 87108(505) 228-2853 Get Directions Write a Review

NPPES record last updated: March 29, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Awareness Integration Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AWARENESS INTEGRATION LLC (NPI 1194091603) is a healthcare organization registered as a psychiatric/mental health in Albuquerque, New Mexico and active in the NPI registry since March 2012. The organization lists Debra Joy Jaccard, Owner, as its authorized official.

NPPES Registry Identity

NPI1194091603
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameAWARENESS INTEGRATION LLC
Location Address219 SIERRA DR SE, UNIT AAlbuquerque, NM 87108-2714
Mailing Address806 Paseo Del Las GolondrinasBernalillo, NM 87004 · (505) 228-2853
Organization SubpartNo
Authorized OfficialDebra Joy JaccardOwner · (505) 228-2853
Enumeration DateMarch 29, 2012
NPI 1194091603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NM · CNP-01762
219 SIERRA DR SE, Albuquerque, NM 87108

Other Identifiers 1

Medicare PINNMAAA1072NM

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194091603, enumerated as an "organization" on March 29, 2012.

The provider is located at 219 SIERRA DR SE UNIT A ALBUQUERQUE, NM 87108 and the phone number is (505) 228-2853.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.