Coral Community Charter

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

CORAL COMMUNITY CHARTER

Practice address

4401 Silver Ave SE
Albuquerque, NM 87108-2856

Phone

(505) 292-6725

Fax

(505) 200-0440

NPI assigned

Jul 30, 2018

Last updated

Jul 30, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lori Bachman

Title

Executive Director

Phone

(505) 292-6725

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vanessa L Gualeni, LMSW

  • Social Worker
  • Albuquerque, NM
  • NPI 1073490454
  NPD (past)
• Alexis R York, COTA

  • Occupational Therapy Assistant
  • Albuquerque, NM
  • NPI 1487472908
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532908800000",
    "number": "1013495365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 SILVER AVE SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871082856",
            "telephone_number": "505-292-6725",
            "fax_number": "505-200-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 SILVER AVE SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871082856",
            "telephone_number": "505-292-6725",
            "fax_number": "505-200-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL COMMUNITY CHARTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A",
        "authorized_official_last_name": "BACHMAN",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-292-6725"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coppertop Services LLC (Telos Community Inclusion, LLC.)
• Coppertop Services, LLC (Telos Community Inclusion, LLC.)
• Juliet Coquia, MD
• Michael A Coquia, MD
• Mariah Allyce Coraci
• Corazon Counseling and Consulting LLC
• Corazon Family Health (Albuquerque Family Health)
• Corazon Healing Hearts Counseling
• Corazon Training and Consulting Inc
• Meagan Rae Corbett, LSAA

• Local Education Agency (LEA) in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Local Education Agency (LEA) in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.