Dominique Abeyta
Individual provider Active NPI Case Manager/Care Coordinator · Taos, NM
NPI 1154059442 · NPPES record last updated Feb 13, 2023
Key facts
- NPI
- 1154059442
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 105 Bertha Rd Ste B
Taos, NM 87571-7148 - Phone
- (575) 758-4297
- NPI assigned
- Aug 12, 2022
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | |||
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
105 Bertha Rd Ste B
Taos, NM 87571-7148
Mailing address
PO Box 214
Vadito, NM 87579-0214
Phone (575) 587-2801
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | d.abeytacr@cbhnow.com |
Other providers in Taos, NM
- 1918 Winter Street Operating Co LLC
- A Port in a Storm LLC
- Charlene Yvette Abeyta Vigil
- Michelle M Abeyta
- Tanya Amberly Abeyta
- Chloe Marie Abreu
- Miriam Acosta
- Amy Michelle Adair
All providers in Taos, NM · Case Manager/Care Coordinator in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.