Diana L Vigil

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

412 Sipapu St
Taos, NM 87571-6498

Phone

(575) 425-3274

Fax

(575) 221-4517

NPI assigned

Jul 14, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Golden Willow Counseling LLC

  • Community/Behavioral Health Agency
  • Taos, NM
  • NPI 1346786902
  NPD

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1417565649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 SIPAPU ST",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716498",
            "telephone_number": "575-425-3274",
            "fax_number": "575-221-4517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 SIPAPU ST",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716498",
            "telephone_number": "575-425-3274",
            "fax_number": "575-221-4517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGIL",
        "first_name": "DIANA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "73725773",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://goldenwillowcounseling.com/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "http://goldenwillowcounseling.com/",
            "address_1": "412 Sipapu St",
            "city": "Taos",
            "state": "NM",
            "country_code": "US",
            "postal_code": "875716498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Annamarie Vaughan
• Amy Marie Vaughn, DC
• Cristal Veleta Mendoza
• Andrew Velie, CCS
• Alfredo R. Vigil, M.D.
• James F Vigil, BMS/CSW PROGRAM COOR
• Librada Vigil
• Lloyd D Vigil, PH.D.
• Margaret Nadine Vigil
• Nicolle Vigil

• All providers in Taos, NM
• Case Manager/Care Coordinator in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.