Martha Jazmin Banuelos-Payan, CSW
Individual provider Active NPI Case Manager/Care Coordinator · Socorro, NM
NPI 1831879899 · NPPES record last updated Aug 1, 2023
Key facts
- NPI
- 1831879899
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 1200 Highway 60
Socorro, NM 87801-3914 - Phone
- (575) 835-2444
- Fax
- (505) 443-8338
- NPI assigned
- Jul 24, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Interoperability endpoints
- martha.banuelospayancsw.p1@direct.pmsnm.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | NM | Yes |
Addresses
Primary practice location
1200 Highway 60
Socorro, NM 87801-3914
Mailing address
1200 Highway 60
Socorro, NM 87801-3914
Phone (575) 835-2444
Other providers in Socorro, NM
- Keisha Savannah Armijo
- Chika Asai
- Mia R. Austin
- Karen Baird-Knickerbocker
- Deborah Joy Bankson
- Christina M Baros
- Judith Patricia Barrett
- Allen Bassler
- Jessie B Batchelor
- Duane H Beers
All providers in Socorro, NM · Case Manager/Care Coordinator 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 Aug 1, 2023. 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.