Active NPI
Edith S. Montoya
- Community Health Worker
- Las Cruces, NM
National Provider Identifier
1306264031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 1600 Thorpe Rd
Las Cruces, NM 88012-9776 - Phone
- (575) 382-9292
- Fax
- (575) 382-2061
- NPI assigned
- Mar 31, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
1600 Thorpe Rd
Las Cruces, NM 88012-9776
Mailing address
PO Box 370
Hatch, NM 87937-0370
Phone (575) 267-3280
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18677037 | Medicaid | NM |
Other names 1
- Edith S. Garcia
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446076800000",
"number": "1306264031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 370",
"city": "HATCH",
"state": "NM",
"postal_code": "879370370",
"telephone_number": "575-267-3280",
"fax_number": "575-267-1747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 THORPE RD",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880129776",
"telephone_number": "575-382-9292",
"fax_number": "575-382-2061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTOYA",
"first_name": "EDITH",
"middle_name": "S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-31",
"last_updated": "2015-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "18677037",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "EDITH",
"last_name": "GARCIA",
"middle_name": "S.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.