Chrystal Lyon

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

NPI 1124445374 · NPPES record last updated Mar 26, 2014

Key facts

NPI
1124445374
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
111 Paseo del Canon W
Taos, NM 87571-8218
Phone
(575) 758-5857
NPI assigned
Mar 26, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Community Services, Inc Past Accepting new patients

Specialties & licenses

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

Addresses

Primary practice location

111 Paseo del Canon W
Taos, NM 87571-8218

Mailing address

413 Sipapu St
Taos, NM 87571-6489
Phone (575) 758-5857

Other providers in Taos, NM

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

Sources for this page

Verify at the official NPI Registry.