Judith Bailie

Individual provider Active NPI Peer Specialist · Santa Fe, NM

NPI 1871968149 · NPPES record last updated Dec 11, 2015

Key facts

NPI
1871968149
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
Practice address
2325 Cerrillos Rd
Santa Fe, NM 87505-3373
Phone
(505) 438-0010
Fax
(505) 438-6011
NPI assigned
Dec 11, 2015
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
The Life Link Past
since May 25, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X NM Yes

Addresses

Primary practice location

2325 Cerrillos Rd
Santa Fe, NM 87505-3373

Mailing address

2325 Cerrillos Rd
Santa Fe, NM 87505-3373
Phone (505) 438-0010

Other providers in Santa Fe, NM

All providers in Santa Fe, NM · Peer Specialist in New Mexico

Sources for this page

Verify at the official NPI Registry.