Sandra M Fortier, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-06875 Issued in NM

Practice address

4351 Jager Dr NE
Suite C
Rio Rancho, NM 87144-7523

Phone

(505) 410-5686

NPI assigned

Oct 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

El Pueblo Health Services, IncGroup PAC ID 9739170697, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
• CO HMO
• CO HMO D-SNP

Interoperability endpoints

• Direct secure messaging: sandra.fortier.1@30308.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/30308/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• El Pueblo Health Services, Inc

  • Family Nurse Practitioner
  • Bernalillo, NM
  • NPI 1144302415
  Medicare reassignment Care Compare group NPD
• El Pueblo Health Services, Inc

  • Student Health Clinic/Center
  • Bernalillo, NM
  • NPI 1578118998
  NPD

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260748800000",
    "number": "1023199338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CAMINO MESTENO",
            "city": "PLACITAS",
            "state": "NM",
            "postal_code": "870438623",
            "telephone_number": "505-771-9279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 JAGER DR NE",
            "address_2": "SUITE C",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871447523",
            "telephone_number": "505-410-5686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTIER",
        "first_name": "SANDRA",
        "middle_name": "M",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2009-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-06875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Joseph Foley, CPSW
• Wendy Geisler Fong
• Yanira Fontes-Palma
• Trevor Hawkins Ford
• Kristen Foreman, MA
• Megan Foster, OTR/L
• Briana Fountain
• Four Bears, LLC
• Four Winds Behavioral Health, Inc.
• Kimberly Dawn Foutz

• Clinical Social Worker in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.