Tina Marie Garland

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

019629325 Issued in NM

Practice address

904 E Fairview LN
Espanola, NM 87532-2822

Phone

(505) 747-1991

Fax

(505) 753-6462

NPI assigned

Oct 9, 2009

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Casa de Corazon

  • Community/Behavioral Health Agency
  • Taos, NM
  • NPI 1548432065
  NPD (past)

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255046400000",
    "number": "1689909590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3157",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875333157",
            "telephone_number": "505-747-1991",
            "fax_number": "505-753-6462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 E FAIRVIEW LN",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875322822",
            "telephone_number": "505-747-1991",
            "fax_number": "505-753-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARLAND",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-09",
        "last_updated": "2009-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NM",
            "license": "019629325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "17",
            "identifier": "17",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Ann Garcia, PHARM.D
• Morningstar Garcia
• Rosario Garcia
• Sofia A Garcia, BMS
• Tracey E Garcia, L.M.S.W.
• Jesse Garrett, PHARM.D.
• Dennis R. Glavan, MSW
• Clarence Wilfred Goddard, MA LADAC
• Cynthia Ann Goldblatt, LPCC
• Eric Golden

• Case Manager/Care Coordinator in Espanola, NM
• Providers in Espanola, 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 Oct 9, 2009; 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.