Active NPI
Elena Carabajal
- Case Manager/Care Coordinator
- Taos, NM
National Provider Identifier
1972267722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 105 Paseo del Canon W Ste a
Taos, NM 87571-6943 - Phone
- (575) 737-5533
- Fax
- (575) 737-5534
- NPI assigned
- Oct 27, 2021
- Sex
- Female
- Sole proprietor
- No
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
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | NM | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
105 Paseo del Canon W Ste a
Taos, NM 87571-6943
Mailing address
105 Paseo del Canon W Ste a
Taos, NM 87571-6943
Phone (575) 737-5533
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83774556 | Medicaid | NM |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 27, 2021.
{
"created_epoch": "1635292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635292800000",
"number": "1972267722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 PASEO DEL CANON W STE A",
"city": "TAOS",
"state": "NM",
"postal_code": "875716943",
"telephone_number": "575-737-5533",
"fax_number": "575-737-5534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 PASEO DEL CANON W STE A",
"city": "TAOS",
"state": "NM",
"postal_code": "875716943",
"telephone_number": "575-737-5533",
"fax_number": "575-737-5534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARABAJAL",
"first_name": "ELENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-27",
"last_updated": "2021-10-27",
"certification_date": "2021-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NM",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "83774556",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.