Sierra Chavez

Individual provider Active NPI Peer Specialist · Algodones, NM

NPI 1275320046 · NPPES record last updated Apr 23, 2025

Key facts

NPI
1275320046
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
Practice address
51 Bosque Rd
Algodones, NM 87001-8014
Phone
(505) 908-8317
NPI assigned
Apr 23, 2025
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
Peer Specialist 175T00000X Yes

Addresses

Primary practice location

51 Bosque Rd
Algodones, NM 87001-8014

Mailing address

PO Box 604
Algodones, NM 87001-0604
Phone (505) 908-8317

Other identifiers

IdentifierTypeStateIssuer
99624371MedicaidNM

Other providers in Algodones, NM

All providers in Algodones, NM · Peer Specialist in New Mexico

Sources for this page

Verify at the official NPI Registry.