Active NPI
Jessica Michelle Samaniego, CASE MANAGER
- Case Manager/Care Coordinator
- Anthony, NM
National Provider Identifier
1457609877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 826 Anthony Dr
Anthony, NM 88021 - Phone
- (575) 201-5135
- Fax
- (575) 449-4052
- NPI assigned
- Aug 15, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | NM | Primary |
Addresses
Primary practice location
826 Anthony Dr
Anthony, NM 88021
Mailing address
385 Calle de Alegra Ste a
Las Cruces, NM 88005-3423
Phone (575) 526-1105
Other practice location 1
820 Hwy 478
Anthonhy, NM 88021
Phone (575) 882-5101 ext. 216
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern New Mexico Human Development, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Anthony, NM
- NPI 1376662874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571788800000",
"number": "1457609877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 CALLE DE ALEGRA STE A",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880053423",
"telephone_number": "575-526-1105",
"fax_number": "575-524-4266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "826 ANTHONY DR",
"city": "ANTHONY",
"state": "NM",
"postal_code": "88021",
"telephone_number": "575-201-5135",
"fax_number": "575-449-4052"
}
],
"practiceLocations": [
{
"address_1": "820 Hwy 478",
"address_purpose": "LOCATION",
"city": "Anthonhy",
"state": "NM",
"postal_code": "88021",
"country_code": "US",
"telephone_number": "575-882-5101 x216",
"fax_number": "575-882-2858",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAMANIEGO",
"first_name": "JESSICA",
"middle_name": "MICHELLE",
"credential": "CASE MANAGER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-15",
"last_updated": "2019-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NM",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anthony, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.