Nikki Dion Smyer

Individual provider Active NPI Case Manager/Care Coordinator · Deming, NM

NPI 1124369616 · NPPES record last updated Apr 14, 2014

Key facts

NPI
1124369616
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
901 W. Hickory
Deming, NM 88030
Phone
(575) 546-2174
Fax
(575) 544-4821
NPI assigned
Mar 7, 2013
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

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

Addresses

Primary practice location

901 W. Hickory
Deming, NM 88030

Mailing address

1320 S. Solano
Las Cruces, NM 88001
Phone (575) 527-7900

Other identifiers

IdentifierTypeStateIssuer
18677037MedicaidNM

Other providers in Deming, NM

All providers in Deming, NM · Case Manager/Care Coordinator in New Mexico

Sources for this page

Verify at the official NPI Registry.