Evelynne Grace Marie Baca
Individual provider Active NPI Case Manager/Care Coordinator · Alamogordo, NM
NPI 1417232158 · NPPES record last updated Feb 10, 2015
Key facts
- NPI
- 1417232158
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 1900 E. 10TH Street
Alamogordo, NM 88310 - Phone
- (575) 437-7404
- Fax
- (575) 439-2861
- NPI assigned
- Oct 13, 2011
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
1900 E. 10TH Street
Alamogordo, NM 88310
Mailing address
100 W Griggs Ave
Las Cruces, NM 88001-1234
Phone (575) 647-2800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18677037 | Medicaid | NM |
Other providers in Alamogordo, NM
- Kimberly Avalos
- Tatum I Aven
- Jacob Ayala Jimenez
- Karl William Ayer
- Anatasia Babb
- Back in Action Therapy LLC
- Leah Bacungan
- Robin Kyungho Baek
- Natalie Baggett
- David Bailey
All providers in Alamogordo, 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 Feb 10, 2015. 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.