Audrey Alcala, BMS
Individual provider Active NPI Counselor · Santa Fe, NM
NPI 1245563204 · NPPES record last updated Sep 9, 2009
Key facts
- NPI
- 1245563204
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 2504 Camino Entrada
Santa Fe, NM 87507 - Phone
- (505) 471-5006
- Fax
- (505) 820-9220
- NPI assigned
- Sep 9, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
2504 Camino Entrada
Santa Fe, NM 87507
Mailing address
PO Box 28220
Santa Fe, NM 87592
Phone (505) 471-5006
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L7094 | Medicaid | NM |
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2009. 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.