OrganizationActive
Awareness Integration LLC
NPI 1194091603 · Psychiatric/Mental Health Nurse Practitioner · Albuquerque, NM
Provider details
- NPI number
- 1194091603
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Debra Jaccard, Owner(505) 228-2853
- License
- CNP-01762 (NM)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
219 Sierra Dr Se
Unit a
Albuquerque, NM 87108-2714
Phone: (505) 228-2853
Street-level locationGet directions
Mailing address
806 Paseo Del Las Golondrinas
Bernalillo, NM 87004
Registry dates
- Enumerated
- 2012-03-29
- Last updated
- 2012-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.