Matai Yazzie
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Gallup, NM
NPI 1801764758 · NPPES record last updated Oct 23, 2025
Key facts
- NPI
- 1801764758
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 2105 Hasler Valley Road
Gallup, NM 87301 - Phone
- (505) 413-3447
- NPI assigned
- Oct 23, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Fe Recovery Center Inc | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
2105 Hasler Valley Road
Gallup, NM 87301
Mailing address
2105 Hasler Valley Road
Gallup, NM 87301
Other providers in Gallup, NM
- Camela J. Yazzie
- Erika Olivia Yazzie
- Janet Yazzie
- Karen A Yazzie
- Latoya J Yazzie
- Sharon Yazzie
- Shauna L Yazzie
- Shawna Yazzie
- Sue Ann Yazzie
- Tina Yazzie
All providers in Gallup, NM · Student in an Organized Health Care Education/Training Program in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.