Michelle Hamilton

Individual provider Active NPI Health Educator · Penasco, NM

NPI 1487323002 · NPPES record last updated Sep 8, 2021

Key facts

NPI
1487323002
Entity type
Individual (NPI type 1)
Primary specialty
Health Educator 174H00000X
Practice address
201 Pueblo View Road, Picuris Pueblo
Penasco, NM 87553
Phone
(575) 779-6463
NPI assigned
Sep 8, 2021
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Picuris Pueblo Current
since Sep 12, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X
Health Educator 174H00000X Yes

Addresses

Primary practice location

201 Pueblo View Road, Picuris Pueblo
Penasco, NM 87553

Mailing address

PO Box 127
Penasco, NM 87553-0127
Phone (575) 779-6463

Other providers in Penasco, NM

All providers in Penasco, NM · Health Educator in New Mexico

Sources for this page

Verify at the official NPI Registry.