Individual provider Active NPI

Katharine May Elverum, CCSW

  • Case Manager/Care Coordinator
  • T Or C, NM
National Provider Identifier
1730783291
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
808 Fir St
T Or C, NM 87901-1724
Phone
(575) 740-9648
Fax
(575) 894-3106
NPI assigned
Nov 25, 2020
Last updated
Nov 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

808 Fir St
T Or C, NM 87901-1724

Mailing address

808 Fir St
T Or C, NM 87901-1724
Phone (575) 740-9648

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": "1606262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1730783291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 FIR ST",
            "city": "T OR C",
            "state": "NM",
            "postal_code": "879011724",
            "telephone_number": "575-740-9648",
            "fax_number": "575-894-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 FIR ST",
            "city": "T OR C",
            "state": "NM",
            "postal_code": "879011724",
            "telephone_number": "575-740-9648",
            "fax_number": "575-894-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELVERUM",
        "first_name": "KATHARINE",
        "middle_name": "MAY",
        "credential": "CCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-25",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "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 T Or C, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; 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.