Organization Active NPI

Self Directed Options

  • Case Management Agency
  • Albuquerque, NM
National Provider Identifier
1659795847
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SELF DIRECTED OPTIONS
Doing business as
AAA Participant Direction
Practice address
4300 Silver Ave SE
Suite B
Albuquerque, NM 87108-2748
Phone
(505) 450-5974
Fax
(888) 334-7353
NPI assigned
Feb 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David Murley
Title
President
Phone
(505) 450-5974

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

4300 Silver Ave SE
Suite B
Albuquerque, NM 87108-2748

Mailing address

4300 Silver Ave SE
Suite B
Albuquerque, NM 87108-2748
Phone (505) 450-5974

Other identifiers 1

IdentifierTypeStateIssuer
68289758MedicaidNM

Other names 1

  • AAA Participant Direction Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Aaa Participant Direction2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4300 Silver Ave SE
Ste B
Albuquerque, NM 87108
Phone (505) 450-5974

NPI Registry JSON

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391990400000",
    "number": "1659795847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 SILVER AVE SE",
            "address_2": "SUITE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871082748",
            "telephone_number": "505-450-5974",
            "fax_number": "888-334-7353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 SILVER AVE SE",
            "address_2": "SUITE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871082748",
            "telephone_number": "505-450-5974",
            "fax_number": "888-334-7353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF DIRECTED OPTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-10",
        "last_updated": "2014-02-10",
        "status": "A",
        "authorized_official_last_name": "MURLEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-450-5974"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "68289758",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AAA Participant Direction",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; 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.