Angelica Deidre Medina, CSW

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2573 State Highway 522
Questa, NM 87556

Phone

(575) 586-0315

Fax

(505) 443-8353

NPI assigned

Jun 9, 2011

Last updated

Sep 14, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1295020022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2267",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875042267",
            "telephone_number": "505-982-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2573 STATE HIGHWAY 522",
            "city": "QUESTA",
            "state": "NM",
            "postal_code": "87556",
            "telephone_number": "575-586-0315",
            "fax_number": "505-443-8353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "ANGELICA",
        "middle_name": "DEIDRE",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-09",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Kiermont
• Audrey Laws, CNP
• Kyline M Martinez, BSN,RN
• Natasha Lee McCants, LCSW
• Michael Shawn McCormack, DDS
• Druanne Payne, SLP
• Veronika Anne Peacetree, LPCC
• Valerie Lynne Pierce, M.S.W.
• Presbyterian Medical Services (Questa Health Center)
• Questa Independent Schools

• Case Manager/Care Coordinator in Questa, NM
• Providers in Questa, NM by specialty
• Case Manager/Care Coordinator in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.