ANGELA BACA (NPI# 1639293939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639293939 |
| Entity Type | Individual |
| Full Name | ANGELA BACA |
| Practice Address |
735 Don Pasqual Rd Nw Los Lunas NM 87031-8493 |
| Mailing Address |
Po Box 518 Los Lunas NM 87031-0518 |
| Practice Telephone | 5058653350 |
| Practice Fax Number | 5058654739 |
| Mailing Telephone | 5058653350 |
| Mailing Fax Number | 5058654739 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-07-08 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275984825 | Angela Baca | Counselor | 27 N Humboldt St, San Mateo, CA 94401-2923 | 2016-06-24 |
| Street Address |
735 DON PASQUAL RD NW |
| City | LOS LUNAS |
| State | NM |
| Zip Code | 87031-8493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720076136 | Kristin Knoll | Counselor | 735 Don Pasqual Rd Nw, Los Lunas, NM 87031-8493 | 2005-10-10 |
| 1487208088 | Michele Morris Mcdonagh | Case Manager/Care Coordinator | 735 Don Pasqual Rd Nw, Los Lunas, NM 87031-8493 | 2019-07-31 |
| 1811541618 | Ashley Lucero | Case Manager/Care Coordinator | 735 Don Pasqual Rd Nw, Los Lunas, NM 87031-8493 | 2019-07-30 |
| 1588162549 | Heather Jeannine Huston | Case Manager/Care Coordinator | 735 Don Pasqual Rd Nw, Los Lunas, NM 87031-8493 | 2018-01-24 |
| 1700384765 | Josephine Chavez | Case Manager/Care Coordinator | 735 Don Pasqual Rd Nw, Los Lunas, NM 87031-8493 | 2018-01-24 |
| 1871002634 | Lydia Carolina Valenzuela | Social Worker | 735 Don Pasqual Rd Nw, Los Lunas, NM 87031-8493 | 2017-09-25 |
| 1124554084 | Kelli Allen | Social Worker | 735 Don Pasqual Rd Nw, Los Lunas, NM 87031-8493 | 2017-05-11 |
| 1245765965 | Ashley Sena | Case Manager/Care Coordinator | 735 Don Pasqual Rd Nw, Los Lunas, NM 87031-8493 | 2017-05-01 |
| 1336567544 | Tess Ritchey | Case Manager/Care Coordinator | 735 Don Pasqual Rd Nw, Los Lunas, NM 87031-8493 | 2014-04-03 |
| 1083954937 | Tess Amy Gaudet | Counselor | 735 Don Pasqual Rd Nw, Los Lunas, NM 87031-8493 | 2013-02-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407466212 | Juanita Arcelia Flores-hull | Registered Nurse | 19670 Highway 314, Belen, NM 87031 | 2020-08-06 |
| 1184267171 | Nicole Andrea Bassett | Registered Nurse | 236 Don Pasqual Rd, Los Lunas, NM 87031 | 2019-10-22 |
| 1922649359 | Darrel Thompson | Physical Therapist | 2211 Main St, Ne, Los Lunas, NM 87031 | 2019-10-07 |
| 1407415235 | Brittany Leigh Dow | Family Medicine | 328 Main St Sw, Los Lunas, NM 87031 | 2019-06-05 |
| 1942764162 | Christine Beevers | Occupational Therapy Assistant | 310 Bonita Vista Blvd, Los Lunas, NM 87031 | 2019-01-23 |
| 1669953105 | Patricia A Ziehl | Occupational Therapy Assistant | 119 Luna Ave., Los Lunas, NM 87031 | 2018-08-23 |
| 1922500776 | Mellisa Marie Everett | Massage Therapist | 3414 Nm- 47, Los Lunas, NM 87031 | 2018-03-07 |
| 1831699917 | Nachelle Lynn Pell | Registered Nurse | 310 Bonita Vista, Los Lunas, NM 87031 | 2018-02-15 |
| 1053829135 | Valencia Denise Jackson | Registered Nurse | 46 Chacon Rd., Los Lunas, NM 87031 | 2018-01-11 |
| 1548777972 | Aja Santana Armijo | Speech-Language Pathologist | 46 Chacon Blvd., Los Lunas, NM 87031 | 2018-01-08 |
| Find all providers in zip 87031 | ||||
| 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 |
|---|---|---|---|---|
| 1962852145 | Michelle Moya | Case Manager/Care Coordinator | 428 S. Los Lentes Rd., Los Lunas, NM 87031 | 2016-06-17 |
| 1104233584 | Vicky Davis | Case Manager/Care Coordinator | 428 Los Lentes Rd, Los Lunas, NM 87031 | 2014-07-17 |
| 1487914735 | Angela D Banks | Case Manager/Care Coordinator | 750 Morris Rd. Sw, Los Lunas, NM 87031-5242 | 2012-05-21 |
| 1881972792 | Stephen D Stephens | Case Manager/Care Coordinator | 750 Morris Rd Sw, Los Lunas, NM 87031-0000 | 2011-07-26 |
| 1689907073 | Debera Carlton | Case Manager/Care Coordinator | 428 South Los Lentes Rd, 428 South Los Lentes Rd, Los Lunas, NM 87031 | 2009-09-16 |
| 1669616454 | Nadia R. Pacheco | Case Manager/Care Coordinator | 303 Luna Ave, Los Lunas, NM 87031 | 2009-04-24 |
| 1043334360 | Elizabeth Ortiz | Case Manager/Care Coordinator | 428 Los Lentes, Los Lunas, NM 87031 | 2007-03-19 |
| 1003930314 | Cora Marquez | Case Manager/Care Coordinator | 703 Don Pasqual Rd Nw, Los Lunas, NM 87031-8493 | 2007-03-19 |
| 1912081969 | Olivia Graham | Case Manager/Care Coordinator | 303 Luna St Se, Los Lunas, NM 87031-9277 | 2006-10-25 |
| 1487208088 | Michele Morris Mcdonagh | Case Manager/Care Coordinator | 735 Don Pasqual Rd Nw, Los Lunas, NM 87031-8493 | 2019-07-31 |
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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.