Active NPI
Marylou H Lozano, COMMUNITY SUPPORT SP
- Case Manager/Care Coordinator
- Deming, NM
National Provider Identifier
1659504231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 901 West Hickory St
Deming, NM 88030 - Phone
- (575) 546-2174
- Fax
- (575) 544-4821
- NPI assigned
- Aug 28, 2009
- 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 | Primary |
Addresses
Primary practice location
901 West Hickory St
Deming, NM 88030
Mailing address
PO Box 2267
Santa Fe, NM 87504-2267
Phone (505) 954-2303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18677037 | 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433462400000",
"number": "1659504231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2267",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875042267",
"telephone_number": "505-954-2303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 WEST HICKORY ST",
"city": "DEMING",
"state": "NM",
"postal_code": "88030",
"telephone_number": "575-546-2174",
"fax_number": "575-544-4821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOZANO",
"first_name": "MARYLOU",
"middle_name": "H",
"name_prefix": "Mrs.",
"credential": "COMMUNITY SUPPORT SP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-28",
"last_updated": "2015-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "18677037",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Deming, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.