CHANTELLE TRISTA YAZZIE (NPI# 1518479336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518479336 |
| Entity Type | Individual |
| Full Name | CHANTELLE TRISTA YAZZIE |
| Credential | LMSW |
| Practice Address |
4501 W Picacho Ave Las Cruces NM 88007-4823 |
| Mailing Address |
505 S Main St Ste 249 Las Cruces NM 88001-1243 |
| Practice Telephone | 5755279606 |
| Mailing Telephone | 5755275823 |
| Mailing Fax Number | 5755275886 |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
M-09646 | NM | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4465 Elks Dr, Las Cruces, NM 880075755 | 5755279456 |
| Street Address |
4501 W PICACHO AVE |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88007-4823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699196659 | Phyllis Roberts | Registered Nurse | 4501 W Picacho Ave, Las Cruces, NM 88007-4823 | 2013-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952814196 | Debra G Hanus | Registered Nurse | 12325 Fort Mcrae Rd., Las Cruces, NM 88007 | 2017-11-09 |
| 1730698309 | Equine Assisted Programs of Southern New Mexico LLC | Clinic/Center | 190 Providence Road, Las Cruces, NM 88007 | 2017-09-26 |
| 1952841926 | Kimberly Danielle Diaz | Marriage & Family Therapist | 471 Alvillar Rd, Las Cruces, NM 88007 | 2017-02-24 |
| 1326420951 | Juan Mendoza | Psychologist | 715 E. Idaho, Las Cruces, NM 88007 | 2015-06-19 |
| 1801206974 | Sonnie Michelle Sanchez | Case Manager/Care Coordinator | 2211 N. Valley Dr., Las Cruces, NM 88007 | 2014-04-29 |
| 1932528171 | Carrie A Jones | Case Manager/Care Coordinator | 2211 N. Valley, Las Cruces, NM 88007 | 2014-04-15 |
| 1881015402 | Tony Trevino | Case Manager/Care Coordinator | 660 Copa Lane, Las Cruces, NM 88007 | 2013-12-27 |
| 1982025508 | Gilbert L Barela | Case Manager/Care Coordinator | 440 Helens Place, Las Cruces, NM 88007 | 2013-12-27 |
| 1497176010 | Heather Barela | Case Manager/Care Coordinator | 305 Windchime Lane, Las Cruces, NM 88007 | 2013-12-27 |
| 1962833194 | Sylvia Trevino | Case Manager/Care Coordinator | 660 Copa Ln., Las Cruces, NM 88007 | 2013-12-13 |
| Find all providers in zip 88007 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871079798 | Karrie Espinosa | Social Worker | 402 W Court Ave, Las Cruces, NM 88005-2596 | 2018-07-13 |
| 1477089902 | Kathryn M Ledesma | Social Worker | 5615 Mira Montes, Las Cruces, NM 88007-8966 | 2017-05-03 |
| 1811459308 | Barbie L Wylie | Social Worker | 505 S Main St Ste 249, Las Cruces, NM 88001-1243 | 2019-04-03 |
| 1467850412 | Monica Beatriz Rives-iglesias | Social Worker | 5300 Holman Rd, Las Cruces, NM 88012-7004 | 2014-12-08 |
| 1952738239 | Elva Gomez-primero | Social Worker | 505 S Main St Ste 249, Las Cruces, NM 88001-1243 | 2013-10-02 |
| 1205104395 | Melissa Allison Hildebrandt | Social Worker | 505 S Main St, Ste. 249, Las Cruces, NM 88001-1206 | 2011-12-05 |
| 1235441767 | Barry David Peace | Social Worker | 505 S Main St, Ste 249, Las Cruces, NM 88001-1206 | 2010-07-13 |
| 1477791770 | Carrie A Cramer | Social Worker | 505 S Main St, Suite 249, Las Cruces, NM 88001-1206 | 2009-01-26 |
| 1013165539 | Kyle Beth Mcnamee | Social Worker | 505 S Main St, Suite 249, Las Cruces, NM 88001-1206 | 2008-09-09 |
| 1881882363 | Kimberly Marie Knox | Social Worker | 505 S Main St, Ste 249, Las Cruces, NM 88001-1206 | 2007-10-09 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88007 |
Please comment or provide details below to improve the information on CHANTELLE TRISTA YAZZIE.
| 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.