NPIMap

Organization Active NPI

Gregory T. Lyles-Davis

  • Case Management Agency
  • Albuquerque, NM
National Provider Identifier
1831424050
Registry record updated Oct 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
GREGORY T. LYLES-DAVIS
Practice address
632 Chama St SE Apt a
Albuquerque, NM 87108-3963
Phone
(505) 212-7466
Fax
(505) 338-2330
NPI assigned
Oct 6, 2009
Organization subpart
Yes
Parent organization
YDI-YOUTH DEVELOPMENT INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 6, 2009

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

Authorized official

Name
Mr. Gregory T. Lyles-Davis
Title
Program Director
Phone
(505) 212-7466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

632 Chama St SE Apt a
Albuquerque, NM 87108-3963

Mailing address

632 Chama St SE Apt a
Albuquerque, NM 87108-3963
Phone (505) 212-7466

National Provider Directory

National Provider Directory
Tax ID family
Youth Development Icorperated10 organizations share this tax ID, including this one
Part of
Youth Development Icorperated

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254787200000",
    "number": "1831424050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 CHAMA ST SE APT A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871083963",
            "telephone_number": "505-212-7466",
            "fax_number": "505-338-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 CHAMA ST SE APT A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871083963",
            "telephone_number": "505-212-7466",
            "fax_number": "505-338-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY T. LYLES-DAVIS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YDI-YOUTH DEVELOPMENT INC.",
        "enumeration_date": "2009-10-06",
        "last_updated": "2009-10-06",
        "status": "A",
        "authorized_official_last_name": "LYLES-DAVIS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "505-212-7466",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.