Active NPI
Alicia Holcomb
- Peer Specialist
- Hobbs, NM
National Provider Identifier
1588333900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 1325
- Practice address
- 920 W Broadway St
Hobbs, NM 88240-5529 - Phone
- (575) 393-3168
- NPI assigned
- Sep 9, 2021
- Last updated
- Apr 1, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | NU | ||
| Peer Specialist | 175T00000X | 1325 | NM | Primary |
Addresses
Primary practice location
920 W Broadway St
Hobbs, NM 88240-5529
Mailing address
PO Box 907
Hobbs, NM 88241-0907
Phone (575) 393-3168
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56839707 | Medicaid | NM |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1325 | NM | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648771200000",
"number": "1588333900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 907",
"city": "HOBBS",
"state": "NM",
"postal_code": "882410907",
"telephone_number": "575-393-3168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 W BROADWAY ST",
"city": "HOBBS",
"state": "NM",
"postal_code": "882405529",
"telephone_number": "575-393-3168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLCOMB",
"first_name": "ALICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-09",
"last_updated": "2022-04-01",
"certification_date": "2022-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "NM",
"license": "1325",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "56839707",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hobbs, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.