DESIREE D. JOBLING - NPI NUMBER 1093080806

Summary

Provider Name: DESIREE D. JOBLING

NPI Number: 1093080806

Clasification: Case Manager/Care Coordinator (171M00000X)

Address:
1100 W 21ST ST
CLOVIS, NM
ZIP 88101

Phone Number: (575) 769-2345



Detailed Information

Desiree D. Jobling is a case manager/care coordinator in Clovis, NM. The provider is a person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee�s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. The assigned NPI number for this provider is 1093080806 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

1100 W 21ST ST
CLOVIS, NM
ZIP 88101-151
Phone: (575) 769-2345
Fax: (575) 769-9013

The enumeration date for this NPI number is 3/12/2012 and was last updated on 3/12/2012.

Map - Location of Practice

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 171M00000X Case Manager/Care Coordinator Yes

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1093080806 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 1 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Provider Last Name Legal Name JOBLING The last name of the provider. If the provider is an individual, this is the legal name.
4 Provider First Name DESIREE The first name of the provider, if the provider is an individual.
5 Provider Middle Name D. The middle name of the provider, if the provider is an individual.
6 Provider First Line Business Practice Location Address 1100 W 21ST ST The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
7 Provider Business Practice Location Address City Name CLOVIS The city name in the location address of the provider being identified.
8 Provider Business Practice Location Address State Name NM The State code in the location of the provider being identified.
9 Provider Business Practice Location Address Postal Code 881014151 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
10 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
11 Provider Business Practice Location Address Telephone Number 5757692345 The telephone number associated with the location address of the provider being identified.
12 Provider Business Practice Location Address Fax Number 5757699013 The fax number associated with the location address of the provider being identified.
13 Provider Enumeration Date 3/12/2012 The date the provider was assigned a unique identifier (assigned an NPI).
14 Last Update Date 3/12/2012 The date that a record was last updated or changed.
15 Provider Gender Code F The code designating the provider’s gender if the provider is a person.
16 Healthcare Provider Taxonomy Code 1 171M00000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
17 Healthcare Provider Primary Taxonomy Switch 1 Y
18 Is Sole Proprietor N Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No

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This page was last updated on: 4/19/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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