GRACIELA MEDINA (NPI# 1396077798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 | 18677037 | 05 | |
NM | 64153274 | 05 |
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 |
Street Address |
880 ANTHONY DR. STE 8A |
City | LAS CRUCES |
State | NM |
Zip Code | 88021 |
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 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 |
---|---|---|---|---|
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 |
City | LAS CRUCES |
Zip Code | 88021 |
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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.