MRS. DELLA BORREGO UPTON (NPI# 1982953717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982953717 |
| Entity Type | Individual |
| Full Name | MRS. DELLA BORREGO UPTON |
| Credential | BSW |
| Practice Address |
530 Demoss Street Lordsburg NM 88045-2618 |
| Practice Telephone | 5755428384 |
| Practice Fax Number | 5755422388 |
| Mailing Telephone | 5755428384 |
| Mailing Fax Number | 5755422388 |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2015-06-24 |
| 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 |
| Street Address |
530 DEMOSS STREET |
| City | LORDSBURG |
| State | NM |
| Zip Code | 88045-2618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588661375 | Marlene G. Baska | Physician Assistant | 530 Demoss Street, Lordsburg, NM 88045-2618 | 2005-07-07 |
| 1962839092 | James Wyatt Lines | Dentist | 530 Demoss Street, Lordsburg, NM 88045-2618 | 2013-10-03 |
| 1982987749 | Julie Eldredge Fitzgerald | Physician Assistant | 530 Demoss Street, Hidalgo Medical Services, Lordsburg, NM 88045-2618 | 2011-09-27 |
| 1720393374 | Korinne D Pacheco | Counselor | 530 Demoss Street, Lordsburg, NM 88045-2618 | 2010-08-06 |
| 1679809479 | Ricardo Rios Jr. | Chiropractor | 530 Demoss Street, Lordsburg, NM 88045-2618 | 2009-10-29 |
| 1619200656 | Johnny Ray Flores | Counselor | 530 Demoss Street, Lordsburg, NM 88045-2618 | 2009-09-09 |
| 1285863738 | Hidalgo Medical Services | Chiropractor | 530 Demoss Street, Lordsburg, NM 88045-2618 | 2009-07-06 |
| 1508022138 | Hasani Kudura | Counselor | 530 Demoss Street, Hidalgo Medical Services Inc, Lordsburg, NM 88045-2618 | 2008-08-04 |
| 1881873388 | Andrea Arta Riley | Registered Nurse | 530 Demoss Street, Lordsburg, NM 88045-2618 | 2007-10-31 |
| 1407810179 | Forrest E Henry | Family Medicine | 530 Demoss Street, Lordsburg, NM 88045-2618 | 2006-04-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801224969 | Patrick Kelly Saucedo | Case Manager/Care Coordinator | 332 E. Motel Dr., Lordsburg, NM 88045 | 2013-10-28 |
| 1952749459 | Edgar Eduardo Gomez | Case Manager/Care Coordinator | 332 East Motel Drive, Lordsburg, NM 88045 | 2013-06-06 |
| 1265601652 | Kristene C. Sheryl | Counselor | 332 E. Motel Drive, Lordsburg, NM 88045 | 2008-02-29 |
| 1811396823 | Efstathia Yerende | Counselor | 530 De Moss St, Lordsburg, NM 88045 | 2014-08-14 |
| 1073931457 | Kerena Barron | Case Manager/Care Coordinator | 332 East Motel Drive, Lordsburg, NM 88045 | 2014-04-02 |
| 1972711687 | Steven Cecil Jones | Pharmacist | 530 Demoss St, Lordsburg, NM 88045 | 2007-05-18 |
| 1497878003 | Sara C Johnson | Speech-Language Pathologist | 500 Ownby St, Lordsburg, NM 88045 | 2007-04-09 |
| 1669429189 | Abeyta Physical Therapy & Sports Medicine Inc | Physical Therapist | 114 E Motel Dr, Lordsburg, NM 88045 | 2006-05-29 |
| 1235143819 | James Bartlem Holder IIi | Internal Medicine | 167 North Main Street, Tuba City, AZ 88045-0600 | 2006-07-28 |
| 1689881245 | Hidalgo Medical Services | Clinic/Center | 501 W 4th St, Lordsburg, NM 88045-1643 | 2007-05-16 |
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| 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 |
|---|---|---|---|---|
| 1285039719 | Ruben Mendoza Jr. | Case Manager/Care Coordinator | 332 East Motel Dr, Lordsburg, NM 83045 | 2014-10-27 |
| 1801224969 | Patrick Kelly Saucedo | Case Manager/Care Coordinator | 332 E. Motel Dr., Lordsburg, NM 88045 | 2013-10-28 |
| 1215376900 | Sabrina Knicole Aguilera | Case Manager/Care Coordinator | 332 E Motel Dr, Lordsburg, NM 88045-1923 | 2013-06-17 |
| 1952749459 | Edgar Eduardo Gomez | Case Manager/Care Coordinator | 332 East Motel Drive, Lordsburg, NM 88045 | 2013-06-06 |
| 1508357062 | Jessica Ramirez | Case Manager/Care Coordinator | 530 De Moss St, Lordsburg, NM 88045-2618 | 2018-05-21 |
| 1093107880 | Joanha M Strelaw | Case Manager/Care Coordinator | 332 E Motel Dr, Lordsburg, NM 88045-1923 | 2015-03-03 |
| 1073931457 | Kerena Barron | Case Manager/Care Coordinator | 332 East Motel Drive, Lordsburg, NM 88045 | 2014-04-02 |
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|---|---|---|---|---|
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| 1770181869 | Thomas Spencer Baldinger | Case Manager/Care Coordinator | 880b Chicoma Vis, Santa Fe, NM 87507-7671 | 2020-10-12 |
| 1346847985 | Selinda Turner | Case Manager/Care Coordinator | 3620 Wyoming Blvd Ne Ste 102d, Albuquerque, NM 87111-3286 | 2020-10-06 |
| 1205452943 | Channda Bernadette Mitchell | Case Manager/Care Coordinator | 2301 Yale Blvd Se Ste F, Albuquerque, NM 87106-4228 | 2020-06-18 |
| 1124643085 | Clarissa Duran | Case Manager/Care Coordinator | 2011 Industrial Park Rd, Espanola, NM 87532-3710 | 2020-06-16 |
| 1134744980 | Verna Jean Thomas | Case Manager/Care Coordinator | 2318 Boyd Ave, Gallup, NM 87301-4888 | 2020-06-08 |
| 1922635804 | Laura Murphy | Case Manager/Care Coordinator | 502 W Cordova Rd, Santa Fe, NM 87505-1820 | 2020-03-23 |
| 1235764127 | Tanya Jacqueline Ruiz | Case Manager/Care Coordinator | 1000 Hudson St, Silver City, NM 88061 | 2020-03-11 |
| 1831723899 | Randall Zuni | Case Manager/Care Coordinator | 650 Vandenbosch Pkwy, Gallup, NM 87301-5508 | 2020-02-28 |
| 1013549088 | Kimberly Washburn | Case Manager/Care Coordinator | 43g Pinsbaari Dr, Pueblo of Acoma, NM 87034-1001 | 2020-02-07 |
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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.