REGION IX EDUCATION COOPERATIVE (NPI# 1164506440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164506440 |
| Entity Type | Organization |
| Organization Name | REGION IX EDUCATION COOPERATIVE |
| Practice Address |
1400 Sudderth Dr Ruidoso NM 88345-6103 |
| Practice Telephone | 5052572368 |
| Practice Fax Number | 5052572141 |
| Mailing Telephone | 5052572368 |
| Mailing Fax Number | 5052572141 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | EVELYN SANCHEZ (MEDICAID TECHNICIAN) |
| Authorized Official Telephone | 5052572368 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
025861 | NM | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | L1075 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104950922 | Region Ix Education Cooperative | Local Education Agency (LEA) | 125 Warrior Drive, Ruidoso, NM 88345 | 2007-03-15 |
| 1922195544 | Region Ix Education Cooperative | Local Education Agency (LEA) | 237 Service Rd, Ruidoso, NM 88345-6063 | 2006-10-06 |
| 1053710004 | Region Ix Education Cooperative | Psychologist | 237 Service Rd, Ruidoso, NM 88345-6063 | 2014-08-15 |
| 1245312719 | Region Ix Education Cooperative | Psychologist | 1400 Sudderth Dr, Ruidoso, NM 88345-6103 | 2006-10-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | REGION IX EDUCATION COOPERATIVE | 143 El Paso Rd Ste 1, Ruidoso, NM 88345-6033 |
| Street Address |
1400 SUDDERTH DR |
| City | RUIDOSO |
| State | NM |
| Zip Code | 88345-6103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881606036 | Anjanette T Silva | Speech-Language Pathologist | 1400 Sudderth Dr, Ruidoso, NM 88345-6103 | 2006-08-13 |
| 1285114017 | Lola June Mcvey | Case Manager/Care Coordinator | 1400 Sudderth Dr, Ruidoso, NM 88345-6103 | 2018-08-21 |
| 1730546557 | Thelonika China Lee Mccollum-shoberg | Social Worker | 1400 Sudderth Dr, Ruidoso, NM 88345 | 2016-01-25 |
| 1508246513 | Presbyterian Medical Services | Clinic/Center | 1400 Sudderth Dr, Ruidoso, NM 88345-6103 | 2015-06-04 |
| 1972902690 | Naomi M. Lopez | Social Worker | 1400 Sudderth Dr, Ruidoso, NM 88345-6103 | 2014-08-19 |
| 1669809406 | La Frontera Center Inc. Dba La Frontera New Mexico, Inc. | Clinic/Center | 1400 Sudderth Dr, Ruidoso, NM 88345-6103 | 2013-10-10 |
| 1467795302 | Liliana Villegas | Counselor | 1400 Sudderth Dr, Ruidoso, NM 88345-6103 | 2013-03-28 |
| 1568702140 | Chelsey Koch | Counselor | 1400 Sudderth Dr, Ruidoso, NM 88345-6103 | 2013-02-19 |
| 1245576156 | September Swanner | Counselor | 1400 Sudderth Dr, Ruidoso, NM 88345-6103 | 2012-12-20 |
| 1205170578 | Leticia Rodriguez | Counselor | 1400 Sudderth Dr, Ruidoso, NM 88345-6103 | 2012-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295386373 | Angela Louise Chavez | Physical Therapy Assistant | 143 El Paseo Road, Ruidoso, NM 88345 | 2019-09-20 |
| 1740744630 | Aspen Creek Counseling, PC | Community/Behavioral Health | 212 Hidalgo St, Ruidoso, NM 88345 | 2019-01-25 |
| 1659729960 | Clinical Counseling, Rebekah Stephens LLC | Community/Behavioral Health | 105 Socorro Circle, Ruidoso, NM 88345 | 2016-05-26 |
| 1013288208 | Emily Jane Fleming | Counselor | 2904 Sudderth Dr, Ruidoso, NM 88345 | 2012-01-19 |
| 1376810572 | Ronald Lee Annala | Specialist | 101 Annala Lane, Ruidoso, NM 88345 | 2011-11-17 |
| 1801171731 | Felicia Yelena Fontenot | Dentist | 127 El Paso Road, Ruidoso, NM 88345 | 2011-10-11 |
| 1497072730 | Richard G Leveque | Counselor | 206 Porr Dirve, Ruidoso, NM 88345 | 2010-04-27 |
| 1871827899 | Delcia Maurice Gudgel | Counselor | 1400 Sudderth Drive, La Frontera, Ruidoso, NM 88345 | 2009-09-23 |
| 1740413541 | Yolanda Nelson | Case Manager/Care Coordinator | 208 Sudderth Dr, Ruidoso, NM 88345 | 2009-08-26 |
| 1164697280 | Elizabeth Urban Candelaria | Social Worker | 1400 Sudderth Dr., Ruidoso, NM 88345 | 2008-04-29 |
| Find all providers in zip 88345 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629685086 | Mariana Diaz | Psychologist | 143 El Paso Rd, Ruidoso, NM 88345-6033 | 2020-09-29 |
| 1225517287 | Szaine Hinkle | Psychologist | 143 El Paso Rd, Ruidoso, NM 88345 | 2018-08-10 |
| 1053710004 | Region Ix Education Cooperative | Psychologist | 237 Service Rd, Ruidoso, NM 88345-6063 | 2014-08-15 |
| 1437297215 | Kenneth Kenney | Psychologist | 1400 Sudderth Dr, Ruidoso, NM 88345-6103 | 2007-02-02 |
| 1184782310 | Cara Wilson | Psychologist | 1400 Sudderth Dr, Ruidoso, NM 88345-6103 | 2006-12-04 |
| 1801964036 | Alan Schlaks | Psychologist | 1400 Sudderth Dr, Ruidoso, NM 88345-6103 | 2006-12-04 |
| 1073681045 | Karen Tillman | Psychologist | 1400 Sudderth Dr, Ruidoso, NM 88345-6103 | 2006-11-30 |
| 1538237573 | Clara Farah | Psychologist | 1400 Sudderth Dr, Ruidoso, NM 88345-6103 | 2006-11-30 |
| 1609944651 | Donald Fraizer | Psychologist | 1400 Sudderth Dr, Ruidoso, NM 88345-6103 | 2006-11-30 |
| 1245312719 | Region Ix Education Cooperative | Psychologist | 1400 Sudderth Dr, Ruidoso, NM 88345-6103 | 2006-10-20 |
| Find all providers in RUIDOSO | ||||
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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.