KATERI MARIE CARPENTER (NPI# 1376171033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376171033 |
| Entity Type | Individual |
| Full Name | KATERI MARIE CARPENTER |
| Credential | CSW |
| Practice Address |
1400 Sudderth Drive Ruidoso NM 88345-6103 |
| Practice Telephone | 5756300571 |
| Practice Fax Number | 5756300574 |
| Mailing Telephone | 5756300571 |
| Mailing Fax Number | 5756300574 |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2020-04-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | NM | Other Service Providers |
| Street Address |
1400 SUDDERTH DRIVE |
| City | RUIDOSO |
| State | NM |
| Zip Code | 88345-6103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871827899 | Delcia Maurice Gudgel | Counselor | 1400 Sudderth Drive, La Frontera, Ruidoso, NM 88345 | 2009-09-23 |
| 1245596782 | Shannon Lee Ross | Case Manager/Care Coordinator | 1400 Sudderth Drive, Ruidoso, NM 88345 | 2012-04-10 |
| 1295011740 | Leticia Michelle Flores | Case Manager/Care Coordinator | 1400 Sudderth Drive, Ruidoso, NM 88345 | 2011-10-28 |
| 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 |
| 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 |
| 1427279959 | Kamerin Stclaire | Counselor | 159 Mescalero Trail Unit 8, Ruidoso, NM 88345 | 2007-05-01 |
| Find all providers in zip 88345 | ||||
| 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 |
|---|---|---|---|---|
| 1740413541 | Yolanda Nelson | Case Manager/Care Coordinator | 208 Sudderth Dr, Ruidoso, NM 88345 | 2009-08-26 |
| 1285114017 | Lola June Mcvey | Case Manager/Care Coordinator | 1400 Sudderth Dr, Ruidoso, NM 88345-6103 | 2018-08-21 |
| 1134469679 | Chelsey Nicole Okeyo | Case Manager/Care Coordinator | 1400 Sudderth Dr., Ruidoso, NM 88345 | 2013-02-20 |
| 1245596782 | Shannon Lee Ross | Case Manager/Care Coordinator | 1400 Sudderth Drive, Ruidoso, NM 88345 | 2012-04-10 |
| 1598034803 | Victor Montes | Case Manager/Care Coordinator | 1400 Sudderth Dr, Ruidoso, NM 88345-6103 | 2011-12-16 |
| 1376812735 | Jasmine Shantell Candelaria | Case Manager/Care Coordinator | 1400 Sudderth Dr, Ruidoso, NM 88345 | 2011-12-14 |
| 1295011740 | Leticia Michelle Flores | Case Manager/Care Coordinator | 1400 Sudderth Drive, Ruidoso, NM 88345 | 2011-10-28 |
| 1902120694 | Samantha A. Ward | Case Manager/Care Coordinator | 1400 Sudderth Dr., Ruidoso, NM 88345 | 2010-03-24 |
| 1730412891 | Virginia V King | Case Manager/Care Coordinator | 1400 Sudderth Dr., Ruidoso, NM 88345 | 2009-09-08 |
| 1760615108 | Linsey Elizabeth Worley | Case Manager/Care Coordinator | 1400 Sudderth Dr., Ruidoso, NM 88345 | 2009-09-02 |
| 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.