Billie Bacca

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

910 E Main St
Trinidad, CO 81082-2725

Phone

(719) 545-2746

NPI assigned

Oct 27, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1509062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1619489853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MONTEBELLO RD STE 204",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011379",
            "telephone_number": "719-545-2746",
            "fax_number": "719-545-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E MAIN ST",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822725",
            "telephone_number": "719-545-2746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Paseo Del Canon W Ste A",
            "address_purpose": "LOCATION",
            "city": "Taos",
            "state": "NM",
            "postal_code": "875716943",
            "country_code": "US",
            "telephone_number": "575-758-5857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BACCA",
        "first_name": "BILLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-27",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Laverne Archibeque, M.A.
• Brandon G Baca, MSPT
• Heather M Baca, M.S.,ED.,CCC-SLP
• Jillian Maria Baca, SLPA
• Lisa Rose Baca, COTA
• Jerrie Dawn Bennett
• Kristy Kay Bennett, D.C.
• Jenna Benson, PTA
• Daniel Howard Berry, DDS
• Jeremy Scott Berry, PTA

• Case Manager/Care Coordinator in Trinidad, CO
• Providers in Trinidad, CO by specialty
• Case Manager/Care Coordinator in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.