Active NPI
Baleria Santistevan
- Case Manager/Care Coordinator
- Taos, NM
National Provider Identifier
1063708964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 105 Bertha Rd Ste B
Taos, NM 87571-7148 - Phone
- (575) 758-4297
- NPI assigned
- Jun 20, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
105 Bertha Rd Ste B
Taos, NM 87571-7148
Mailing address
PO Box 28220
Santa Fe, NM 87592-8220
Other practice location 1
118 Ests Es Road
Suite H
Taos, NM 87571
Phone (575) 758-7263
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | b.santistevancr@cbhnow.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699920000000",
"number": "1063708964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 28220",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875928220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 BERTHA RD STE B",
"city": "TAOS",
"state": "NM",
"postal_code": "875717148",
"telephone_number": "575-758-4297"
}
],
"practiceLocations": [
{
"address_1": "118 Ests Es Road",
"address_2": "Suite H",
"address_purpose": "LOCATION",
"city": "Taos",
"state": "NM",
"postal_code": "87571",
"country_code": "US",
"telephone_number": "575-758-7263",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANTISTEVAN",
"first_name": "BALERIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-20",
"last_updated": "2023-11-14",
"certification_date": "2023-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "b.santistevancr@cbhnow.com",
"affiliation": "N",
"address_1": "105 Bertha Rd Ste B",
"city": "Taos",
"state": "NM",
"country_code": "US",
"postal_code": "875717148",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.