Judith Ann Sullivan

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1238 Calle de Lago
Socorro, NM 87801-4805

Phone

(575) 835-8991

Fax

(575) 838-0423

NPI assigned

Jul 6, 2026

Last updated

Jul 6, 2026By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1783296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1073430468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1238 CALLE DE LAGO",
            "city": "SOCORRO",
            "state": "NM",
            "postal_code": "878014805",
            "telephone_number": "575-835-8991",
            "fax_number": "575-838-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1238 CALLE DE LAGO",
            "city": "SOCORRO",
            "state": "NM",
            "postal_code": "878014805",
            "telephone_number": "575-835-8991",
            "fax_number": "575-838-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-06",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Socorro Wellness & Rehabilitation LLC
• Melissa Steen
• Kelby H Stephens, MPT
• Steven C Woodard, OD, PC
• Steven Michael Stewart, MD
• Anisha Tailor, MD
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Socorro)
• Angelo Tomedi, MD
• Rachel Trujillo
• Jacob Vaiza, CSW

• Case Manager/Care Coordinator in Socorro, NM
• Providers in Socorro, NM by specialty
• Case Manager/Care Coordinator in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.