Roseanne Chadborn
Individual provider Active NPI Case Manager/Care Coordinator · Deming, NM
NPI 1013168608 · NPPES record last updated Feb 11, 2015
Key facts
- NPI
- 1013168608
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 901 W. Hickory St.
Deming, NM 88030 - Phone
- (575) 546-2174
- Fax
- (575) 544-4821
- NPI assigned
- Oct 1, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5887 | NM | MD | Mechanotherapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes | ||
| Mechanotherapist | 172M00000X | 5887 | NM |
Addresses
Primary practice location
901 W. Hickory St.
Deming, NM 88030
Mailing address
100 W Griggs Ave
Las Cruces, NM 88001-1234
Phone (575) 647-2800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18677037 | Medicaid | NM |
Other providers in Deming, NM
- Nadia L Cano Vazquez
- Luis A Carreon
- John Cassity
- Crystal Castillo
- Marco A. Cervantes
- Miranda Chavez
- City of Deming
- Yvonne Contreras
- Dolores Coronado
- James Allen Coughlin
All providers in Deming, NM · Case Manager/Care Coordinator in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.