Individual provider Active NPI

Stacie Bowman

  • Case Manager/Care Coordinator
  • Santa Fe, NM
National Provider Identifier
1346979960
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
6 Calle Medico Ste 1
Santa Fe, NM 87505-4761
Phone
(575) 733-0003
Fax
(575) 733-0004
NPI assigned
Jun 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

6 Calle Medico Ste 1
Santa Fe, NM 87505-4761

Mailing address

PO Box 94508
Albuquerque, NM 87199-4508
Phone (575) 733-0003

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

Practice roles

OrganizationSpecialtyStatusNew patients
Noesis Integrative Health Inc CurrentSince Jun 12, 2022 Accepting new patients
Krossroads Integrative Health and Recovery Solutions Inc Case Manager/Care Coordinator CurrentSince Sep 21, 2022 Accepting new patients

Locations

6 Calle Medico
Ste 1
Santa Fe, NM 87505
Phone (505) 273-4668

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1346979960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94508",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871994508",
            "telephone_number": "575-733-0003",
            "fax_number": "575-733-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CALLE MEDICO STE 1",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054761",
            "telephone_number": "575-733-0003",
            "fax_number": "575-733-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "STACIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.