Eleana Maia Butler, MSW
Individual provider Active NPI Case Manager/Care Coordinator · Blanco, NM
NPI 1598819518 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1598819518
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 14 Road 4625
Blanco, NM 87412-9743 - Phone
- (505) 632-2138
- Fax
- (505) 326-2557
- NPI assigned
- Jan 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
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
14 Road 4625
Blanco, NM 87412-9743
Mailing address
14 Road 4625
Blanco, NM 87412-9743
Phone (505) 632-2138
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A0850 | Medicaid | NM |
Other providers in Blanco, NM
All providers in Blanco, 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 Jul 9, 2007. 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.