Organization Active NPI

Purple Cow Case Management LLC

  • Case Manager/Care Coordinator
  • Roswell, NM
National Provider Identifier
1114139672
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
PURPLE COW CASE MANAGEMENT LLC
Practice address
105 W 3Rd St
Suite 242
Roswell, NM 88201-4750
Phone
(505) 623-3051
Fax
(505) 623-8095
NPI assigned
May 4, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Ronald Nelson Tucker
Title
Owner
Phone
(505) 623-3051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X NU Primary

Addresses

Primary practice location

105 W 3Rd St
Suite 242
Roswell, NM 88201-4750

Mailing address

105 W 3Rd St
Suite 242
Roswell, NM 88201-4750
Phone (505) 623-3051

Other identifiers 1

IdentifierTypeStateIssuer
73675768MedicaidNM

National Provider Directory

National Provider Directory

Locations

105 W 3rd St
Ste 242
Roswell, NM 88201
Phone (505) 623-3051

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114139672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W 3RD ST",
            "address_2": "SUITE 242",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882014750",
            "telephone_number": "505-623-3051",
            "fax_number": "505-623-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W 3RD ST",
            "address_2": "SUITE 242",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882014750",
            "telephone_number": "505-623-3051",
            "fax_number": "505-623-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPLE COW CASE MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-623-3051",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "73675768",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.