Stephanie Frietze
Individual provider Active NPI Case Manager/Care Coordinator · Anthony, NM
NPI 1992243521 · NPPES record last updated Aug 27, 2018
Key facts
- NPI
- 1992243521
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 826 Anthony Dr.
Anthony, NM 88021 - Phone
- (575) 201-5135
- Fax
- (575) 449-4052
- NPI assigned
- Feb 2, 2017
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
826 Anthony Dr.
Anthony, NM 88021
Mailing address
385 Calle de Alegra Ste a
Las Cruces, NM 88005-3423
Phone (575) 526-1105
Other practice location 1
880 Anthony Dr
Anthony, NM 88021-9346
Phone (575) 201-5135
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34152814 | Medicaid | NM |
Other providers in Anthony, NM
- Elia Jacqueline Flores
- Jose Leos Flores
- Michael Keith Ford
- Emilia Isabel Franco
- Victoria Louise Fresquez
- Feliza D Galindo-Insurriaga
- David Fermin Gallegos
- Jose Eduardo Gallegos
- George Gamon
- Maria Socorro Gamon
All providers in Anthony, 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 27, 2018. 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.