Lavette Quintana, LISW
Individual provider Active NPI Case Manager/Care Coordinator · Bloomfield, NM
NPI 1356775449 · NPPES record last updated Aug 26, 2013
Key facts
- NPI
- 1356775449
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- License
- 356171 (NM)
- Practice address
- 404 N Frontier St
Bloomfield, NM 87413-5528 - Phone
- (505) 948-2459
- NPI assigned
- Aug 26, 2013
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 356171 | NM | MD | Case Manager/Care Coordinator |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 356171 | NM | Yes |
Addresses
Primary practice location
404 N Frontier St
Bloomfield, NM 87413-5528
Mailing address
404 N Frontier St
Bloomfield, NM 87413-5528
Phone (505) 948-2459
Other providers in Bloomfield, NM
- Stephanie Poafpybitty
- Oferanda Poyer
- Susan A Pudwill
- Dolores Ann Pyles
- Gabriela Quezada
- Chris Dwight Richardson
- Bertha Ann Roark
- Chelsea Romero
- Sadie L Smith-McDaniel
- Melissa Marie Sam
All providers in Bloomfield, NM · Case Manager/Care Coordinator in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.