STACI LYNN ALTMAN (NPI# 1144835075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144835075 |
| Entity Type | Individual |
| Full Name | STACI LYNN ALTMAN |
| Practice Address |
920 W Broadway St Hobbs NM 88240-5529 |
| Mailing Address |
Po Box 907 Hobbs NM 88241-0907 |
| Practice Telephone | 5753933168 |
| Mailing Telephone | 5753933168 |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
920 W BROADWAY ST |
| City | HOBBS |
| State | NM |
| Zip Code | 88240-5529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700889805 | Donald R Davis | Counselor | 920 W Broadway St, Hobbs, NM 88240-5529 | 2005-05-23 |
| 1376159459 | Misty D Nolan | Social Worker | 920 W Broadway St, Hobbs, NM 88240-5529 | 2020-09-23 |
| 1841806288 | Bonnie R Fletcher | Case Manager/Care Coordinator | 920 W Broadway St, Hobbs, NM 88240-5529 | 2020-09-21 |
| 1992310015 | Mallory Clare Carver | Behavior Technician | 920 W Broadway St, Hobbs, NM 88240-5529 | 2020-09-15 |
| 1437764404 | Patrick R Vigil | Case Manager/Care Coordinator | 920 W Broadway St, Hobbs, NM 88240-5529 | 2020-09-15 |
| 1891309795 | Jonnasha Le'aan Banks | Case Manager/Care Coordinator | 920 W Broadway St, Hobbs, NM 88240-5529 | 2020-09-08 |
| 1922612712 | John W Dunlap | Case Manager/Care Coordinator | 920 W Broadway St, Hobbs, NM 88240-5529 | 2020-08-31 |
| 1093325466 | Lisa A Mcgruder | Peer Specialist | 920 W Broadway St, Hobbs, NM 88240-5529 | 2020-07-31 |
| 1417566910 | Laura Anne Wallace | Case Manager/Care Coordinator | 920 W Broadway St, Hobbs, NM 88240-5529 | 2020-07-30 |
| 1700495322 | Stephendanell E Stroud | Peer Specialist | 920 W Broadway St, Hobbs, NM 88240-5529 | 2020-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225676430 | Dma Professional Services, LLC | Dentist | Degollado 2229, Nuevo Laredo, TAMAULIPAS 88240 | 2019-12-18 |
| 1366930380 | Nor-lea Hospital District | Clinic/Center | 800 N Jefferson St Bldg Shch, Hobbs, NM 88240 | 2018-04-25 |
| 1427553668 | Ahrang Lee | Pharmacist | 1225 North Turner, Hobbs, NM 88240 | 2018-03-29 |
| 1881100907 | George E. Jossell | Pharmacist | 5419 N Lovington Highway, Hobbs, NM 88240 | 2017-12-27 |
| 1912445495 | Brittany Briseno | Social Worker | 615 West Broadway, Suite 2, Hobbs, NM 88240 | 2017-02-06 |
| 1780122291 | Valerie Kleespies | Social Worker | 215 West Broadway Street, Suite 2, Hobbs, NM 88240 | 2017-02-03 |
| 1841693082 | Cecillia Anna Espinoza | Counselor | 215 W. Broadway N#1, Hobbs, NM 88240 | 2014-10-02 |
| 1982020814 | Jennifer Pyeatt | Pharmacist | 715 W Bender, Hobbs, NM 88240 | 2014-03-17 |
| 1952738627 | Carlos Alberto Revelo | Internal Medicine | 3028 N Grimes St, Hobbs, NM 88240 | 2013-09-26 |
| 1710232665 | Border Dental Billing LLC | Dentist | Santos Degollado 3343, Nuevo Laredo, TAMAULIPAS 88240 | 2012-07-17 |
| Find all providers in zip 88240 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497085781 | Jessica Sepulveda | Case Manager/Care Coordinator | 920 West Broadway, Guidance Center of Lea County, Hobbs, NM 88240 | 2010-01-08 |
| 1841806288 | Bonnie R Fletcher | Case Manager/Care Coordinator | 920 W Broadway St, Hobbs, NM 88240-5529 | 2020-09-21 |
| 1437764404 | Patrick R Vigil | Case Manager/Care Coordinator | 920 W Broadway St, Hobbs, NM 88240-5529 | 2020-09-15 |
| 1891309795 | Jonnasha Le'aan Banks | Case Manager/Care Coordinator | 920 W Broadway St, Hobbs, NM 88240-5529 | 2020-09-08 |
| 1922612712 | John W Dunlap | Case Manager/Care Coordinator | 920 W Broadway St, Hobbs, NM 88240-5529 | 2020-08-31 |
| 1417566910 | Laura Anne Wallace | Case Manager/Care Coordinator | 920 W Broadway St, Hobbs, NM 88240-5529 | 2020-07-30 |
| 1912516006 | Yolanda Lynn Holt | Case Manager/Care Coordinator | 920 W Broadway St, Hobbs, NM 88240-5529 | 2020-07-24 |
| 1326664434 | Juliet-danielle Leslie Lane | Case Manager/Care Coordinator | 920 W Broadway St, Hobbs, NM 88240-5529 | 2020-06-24 |
| 1821612714 | Cody Paul Brock | Case Manager/Care Coordinator | 920 W Broadway St, Hobbs, NM 88240-5529 | 2020-06-05 |
| 1366089799 | Thais Mackey | Case Manager/Care Coordinator | 920 W Broadway St, Hobbs, NM 88240-5529 | 2019-12-04 |
| Find all providers in HOBBS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.