Debera Carlton, PSR

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

428 South Los Lentes Rd
428 South Los Lentes Rd
Los Lunas, NM 87031

Phone

(505) 865-3350

Fax

(505) 865-4739

NPI assigned

Sep 16, 2009

Reactivated

Mar 22, 2016

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

Other identifiers 1

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": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1689907073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 SOUTH LOS LENTES RD.",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870310518",
            "telephone_number": "505-865-3350",
            "fax_number": "505-865-4739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 SOUTH LOS LENTES RD",
            "address_2": "428 SOUTH LOS LENTES RD",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "87031",
            "telephone_number": "505-865-3350",
            "fax_number": "505-865-4739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLTON",
        "first_name": "DEBERA",
        "name_prefix": "Mrs.",
        "credential": "PSR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-16",
        "last_updated": "2016-03-22",
        "deactivation_date": "2016-03-21",
        "reactivation_date": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "850294695",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shayla Rayn Candelaria
• Melinda Anita Cano-Howes, OD
• Mariah Cantu
• Teresa Carder
• Care at Home LLC (Comfort Keepers)
• Russi Carr, BMS
• Ariana Alicia Dean Carrillo
• Kelly Patrick Cassidy
• Melissa Castillo
• Janet Marie Castle

• Case Manager/Care Coordinator in Los Lunas, NM
• Providers in Los Lunas, NM by specialty
• Case Manager/Care Coordinator in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.