Active NPI
Alicemary Pelayo
- Case Manager/Care Coordinator
- Tucumcari, NM
National Provider Identifier
1154450633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 205072
- Practice address
- 1701 S 11TH St
Tucumcari, NM 88401-3715 - Phone
- (505) 461-4344
- NPI assigned
- Mar 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 205072 | NM | Primary |
Addresses
Primary practice location
1701 S 11TH St
Tucumcari, NM 88401-3715
Mailing address
PO Box 385
Tucumcari, NM 88401-0385
Phone (505) 461-4344
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00321729 | Other | NM | SPECIAL ED. DIRECTOR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 205072 | NM | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154450633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 385",
"city": "TUCUMCARI",
"state": "NM",
"postal_code": "884010385",
"telephone_number": "505-461-4344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 S 11TH ST",
"city": "TUCUMCARI",
"state": "NM",
"postal_code": "884013715",
"telephone_number": "505-461-4344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELAYO",
"first_name": "ALICEMARY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NM",
"license": "205072",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECIAL ED. DIRECTOR",
"identifier": "00321729",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tucumcari, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.