Active NPI
Mallorie Godoy
- Case Manager/Care Coordinator
- Farmington, NM
National Provider Identifier
1720436637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1001 W Broadway
Suite D
Farmington, NM 87401-5638 - Phone
- (505) 325-0238
- NPI assigned
- Jun 1, 2016
- 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
1001 W Broadway
Suite D
Farmington, NM 87401-5638
Mailing address
1001 W Broadway
Suite D
Farmington, NM 87401-5638
Phone (505) 325-0238
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": "1464739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494201600000",
"number": "1720436637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 W BROADWAY",
"address_2": "SUITE D",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874015638",
"telephone_number": "505-325-0238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 W BROADWAY",
"address_2": "SUITE D",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874015638",
"telephone_number": "505-325-0238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GODOY",
"first_name": "MALLORIE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-01",
"last_updated": "2017-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.