TAMARA BEALL (NPI# 1033443528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033443528 |
| Entity Type | Individual |
| Full Name | TAMARA BEALL |
| Credential | BA |
| Practice Address |
6611 Gulton Ct Ne Albuquerque NM 87109-4407 |
| Practice Telephone | 5052963965 |
| Practice Fax Number | 5053239430 |
| Mailing Telephone | 5052963965 |
| Mailing Fax Number | 5053239430 |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2009-09-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | M1919 | 05 |
| Street Address |
6611 GULTON CT NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-4407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750370847 | Children's Treatment Center | Community/Behavioral Health | 6611 Gulton Ct Ne, Albuquerque, NM 87109-4407 | 2005-10-20 |
| 1992321079 | Stephanie Kitts | Counselor | 6611 Gulton Ct Ne, Albuquerque, NM 87109-4407 | 2020-06-24 |
| 1568012086 | Charde Walker | Social Worker | 6611 Gulton Ct Ne, Albuquerque, NM 87109-4407 | 2019-09-17 |
| 1952954455 | Kimberly Kristin Atencio-valentine | Registered Nurse | 6611 Gulton Ct Ne, Albuquerque, NM 87109-4407 | 2019-07-23 |
| 1164960886 | Rocio Reynoso | Marriage & Family Therapist | 6611 Gulton Ct Ne, Albuquerque, NM 87109-4407 | 2017-02-01 |
| 1528514908 | Sarah Selph | Social Worker | 6611 Gulton Ct Ne, Albuquerque, NM 87109-4407 | 2016-08-26 |
| 1497113716 | Leslie White | Counselor | 6611 Gulton Ct Ne, Albuquerque, NM 87109-4407 | 2016-02-01 |
| 1295192946 | Melissa Santilli | Counselor | 6611 Gulton Ct Ne, Albuquerque, NM 87109-4407 | 2016-01-26 |
| 1619332426 | Liana Murphy | Counselor | 6611 Gulton Ct Ne, Albuquerque, NM 87109-4407 | 2015-12-21 |
| 1508232380 | David Niclas | Counselor | 6611 Gulton Ct Ne, Albuquerque, NM 87109-4407 | 2015-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286367 | Mikaela Epaloose | Behavior Technician | 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-10-11 |
| 1245872464 | Marsha Director | Behavior Technician | 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 | 2019-10-09 |
| 1720637499 | Nancy Gail Vice | Technician | 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 | 2019-09-05 |
| 1598314411 | Chau Vu | Behavior Technician | Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-09-04 |
| 1932753498 | Noelle Nielsen | Behavior Technician | 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 | 2019-08-01 |
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1043795149 | Margaret Mcconville | Physical Therapist | Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-09-25 |
| 1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
| 1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
| 1508351990 | Gianna Nicole Casarez-quintana | Dentist | 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 | 2018-06-27 |
| Find all providers in zip 87109 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| 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. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346847985 | Selinda Turner | Case Manager/Care Coordinator | 3620 Wyoming Blvd Ne Ste 102d, Albuquerque, NM 87111-3286 | 2020-10-06 |
| 1205452943 | Channda Bernadette Mitchell | Case Manager/Care Coordinator | 2301 Yale Blvd Se Ste F, Albuquerque, NM 87106-4228 | 2020-06-18 |
| 1346882909 | Jaineen Burkettsims | Case Manager/Care Coordinator | 11005 Spain Rd Ne Ste 22, Albuquerque, NM 87111-1871 | 2019-10-15 |
| 1285282715 | Aiden Charles Martinez | Case Manager/Care Coordinator | 6704 Nueva Pierda Street Nw, Albuquerque, NM 87120 | 2019-08-28 |
| 1023662947 | Tracy Lynn Nichols | Case Manager/Care Coordinator | 2329 Griffin Rd Sw, Albuquerque, NM 87105-7026 | 2019-07-29 |
| 1629632930 | Kassandra Lucero | Case Manager/Care Coordinator | 4118 Central Ave Se, Albuquerque, NM 87108-1177 | 2019-04-23 |
| 1740708809 | 11.11, LLC | Case Manager/Care Coordinator | 11724 Copper Pl Ne, Albuquerque, NM 87123 | 2017-09-08 |
| 1811411135 | Annette Romero | Case Manager/Care Coordinator | 9741 Candelaria, Albuquerque, NM 87112 | 2017-07-28 |
| 1245769512 | Danielle White | Case Manager/Care Coordinator | 801 Encino Pl Ne Ste E1, Albuquerque, NM 87102-2645 | 2017-06-08 |
| 1447784079 | Jess Fulton | Case Manager/Care Coordinator | 720 Vassar Dr Ne, Albuquerque, NM 87106-2724 | 2017-04-20 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87109 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.