GRACIELA MEDINA


Address: 880 Anthony Dr. Ste 8a, Las Cruces, NM 88021
Phone: 5752015134

GRACIELA MEDINA (NPI# 1396077798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396077798
Entity Type Individual
Full Name GRACIELA MEDINA
Credential BS
Practice Address 880 Anthony Dr. Ste 8a
Las Cruces
NM 88021
Mailing Address 1320 S. Solano
Las Cruces
NM 88001
Practice Telephone 5752015134
Practice Fax Number 5752015108
Mailing Telephone 5755277900
Mailing Fax Number 5755714872
Enumeration Date 2010-02-10
Last Update Date 2014-04-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NM 18677037 05
NM 64153274 05

Other Providers GRACIELA MEDINA

NPI Name Taxonomy Address Enumeration
1669086039 Graciela Margarita Medina Specialist/Technologist 2335 E Saunders St, Laredo, TX 78041-5434 2020-09-03
1255462354 Graciela P, Medina Counselor 5523 34th St, Sacramento, CA 95820-4725 2007-03-08

Office Location

Street Address 880 ANTHONY DR. STE 8A
City LAS CRUCES
State NM
Zip Code 88021

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306456041 Ashley Marie Vasquez Social Worker 6301 Nm Highway28, Anthony, NM 88021 2020-08-07
1043705890 Albrighton Pharmacy Pharmacy 401 Anthony Dr Ste E, Anthony, NM 88021 2018-06-25
1023524261 Roxana Mercado Counselor 785 Anthony Dr, Anthony, NM 88021 2017-12-26
1689034662 La Clinica De Familia, Inc. Clinic/Center 6301 Nm Highway 28, Anthony, NM 88021 2016-03-03
1336558360 Anahi Marquez Social Worker 92 Shrode Road, Anthony, NM 88021 2014-08-04
1649692211 Michael Torres Case Manager/Care Coordinator 3150 Anthony Rd Hwy 460, Anthony, NM 88021 2014-01-15
1396167243 Laura Ceniceros Case Manager/Care Coordinator 80 Dos Amigos Road, Anthony, NM 88021 2014-01-13
1174951834 La Frontera Center Inc. Dba La Frontera New Mexico Inc Clinic/Center 880 N. Main St, Suite 3a, Anthony, NM 88021 2013-10-16
1689930133 Oscar Artiaga Public Health or Welfare 414 St Anthony St, Serenity Counseling, Anthony, NM 88021 2012-04-10
1609145291 Maria R Diaz Behavioral Analyst 399 San Antonio St., Anthony, NM 88021 2011-12-28
Find all providers in zip 88021

Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447658398 Jose Renteria Case Manager/Care Coordinator 8957 Mission Ln, Las Cruces, NM 88012-6540 2014-12-09
1003214941 Rosa Smith Case Manager/Care Coordinator 5022 Calle De Ranchero, Las Cruces, NM 88012 2014-12-09
1972901973 Thomas Scarbrough Case Manager/Care Coordinator 2948 Cheyenne Dr, Las Cruces, NM 88011-5257 2014-12-08
1124421920 Abraham Vasquez Case Manager/Care Coordinator 3303 Oak St, Las Cruces, NM 88005-7725 2014-10-07
1649672825 Joel Corral Case Manager/Care Coordinator 1505 Roberts Dr, Las Cruces, NM 88005-3159 2014-09-19
1851701494 Viola E Garcia Case Manager/Care Coordinator 100 W Griggs, Las Cruces, NM 88001 2014-05-05
1801206974 Sonnie Michelle Sanchez Case Manager/Care Coordinator 2211 N. Valley Dr., Las Cruces, NM 88007 2014-04-29
1477973477 Mary Diane Basler White Case Manager/Care Coordinator 1626 E. Las Cruces Ave., Las Cruces, NM 88001 2014-04-17
1376963462 Nora Garcia Case Manager/Care Coordinator 4331 Soda Spring Dr., Las Cruces, NM 88011 2014-04-16
1932528171 Carrie A Jones Case Manager/Care Coordinator 2211 N. Valley, Las Cruces, NM 88007 2014-04-15
Find all providers in LAS CRUCES

Competitor

Search similar providers

City LAS CRUCES
Zip Code 88021

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Dataset Information

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.

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