Keith McClish

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

618 Manzano St NE
Albuquerque, NM 87110-6302

Phone

(505) 925-4044

NPI assigned

Jun 15, 2010

Sex

Male

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": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400630400000",
    "number": "1306167259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10712 MCMICHAEL LN SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871213643",
            "telephone_number": "505-925-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 MANZANO ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871106302",
            "telephone_number": "505-925-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLISH",
        "first_name": "KEITH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-15",
        "last_updated": "2014-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa McClendon, PT
• Debi K McClernon-Haigh, P.T.
• Lewis Dale McCleskey, R.PH.
• Lorayne Margaret McCleskey, R.PH.
• Kimberly Tonne McClintic, MA, LPCC
• Tonya McClish
• Rachel McCloud, COTA/L
• James Mathew McClung
• Janice McClure, SLP
• Dane L. McClurg, DDS

• Case Manager/Care Coordinator in Albuquerque, NM
• Providers in Albuquerque, 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 May 21, 2014; 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.