LUIS BURROLA (NPI# 1740842061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740842061 |
Entity Type | Individual |
Full Name | LUIS BURROLA |
Credential | CSW |
Practice Address |
2504 Camino Entrada Santa Fe NM 87507-4851 |
Practice Telephone | 5054715006 |
Enumeration Date | 2019-07-08 |
Last Update Date | 2019-07-09 |
Gender Code | M |
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 |
2504 CAMINO ENTRADA |
City | SANTA FE |
State | NM |
Zip Code | 87507-4851 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669402103 | Christopher Clancy | Psychiatry & Neurology | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2006-07-03 |
1003420696 | Heidi Mae Gall | Counselor | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2020-09-01 |
1538779897 | Sun Wiltse Vega | Case Manager/Care Coordinator | 2504 Camino Entrada, Santa Fe, NM 87507 | 2020-08-03 |
1740808518 | Bernadette D Mares | Social Worker | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2020-07-08 |
1982248662 | Teambuilders Behavioral Health, Inc. | Counselor | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2019-11-05 |
1790329472 | Teambuilders Behavioral Health, LLC | Counselor | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2019-11-05 |
1770126468 | Blake Ann Kish, Bms | Behavioral Analyst | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2019-10-24 |
1033752324 | Misper Etando | Nurse Practitioner | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2019-10-20 |
1851949739 | Briahna Easton | Behavioral Analyst | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2019-09-03 |
1689222093 | Lori Diane Shepard | Social Worker | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2019-08-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093316390 | Cynthia Lois Meyers | Pharmacy | 2709 Cerrillos Road, Santa Fe, NM 87507 | 2020-11-03 |
1578160685 | Nancy Benigsohn | Counselor | 4001 Office Courte., Suite 603, Santa Fe, NM 87507 | 2020-10-02 |
1730684853 | Presbyterian Healthcare Services | General Acute Care Hospital | 4801 Beckner Road, Santa Fe, NM 87507 | 2018-03-29 |
1033623780 | Averie Montgomery-diener | Physical Therapy Assistant | 2538 Camino Entrad Suite 300, Santa Fe, NM 87507 | 2017-11-16 |
1013426790 | Deja Nicole Mendez | Behavior Technician | 2213 Paseo De Tercero, Santa Fe, NM 87507 | 2017-09-25 |
1548787633 | Lauren Sherwood | Behavior Technician | 4129 S Meadows Rd, Apt #1023, Santa Fe, NM 87507 | 2017-08-29 |
1972032563 | Alyssa Butler | Counselor | 1409 Zepol Rd Apt 110, Santa Fe, NM 87507 | 2017-06-07 |
1093253221 | Stateserv Medical | Durable Medical Equipment & Medical Supplies | 4326 Airport Road, Unit F, Santa Fe, NM 87507 | 2017-02-08 |
1891233128 | Daniel & Max, LLC | Optometrist | 4079 Cerillos Road, Santa Fe, NM 87507 | 2017-02-07 |
1508225749 | Youth Shelters and Family Services | Counselor | 5686 B Agua Fria Street, Santa Fe, NM 87507 | 2016-02-16 |
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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 |
---|---|---|---|---|
1770181869 | Thomas Spencer Baldinger | Case Manager/Care Coordinator | 880b Chicoma Vis, Santa Fe, NM 87507-7671 | 2020-10-12 |
1922635804 | Laura Murphy | Case Manager/Care Coordinator | 502 W Cordova Rd, Santa Fe, NM 87505-1820 | 2020-03-23 |
1689107468 | Julia Bain | Case Manager/Care Coordinator | 2916 Governor Mabry Ct, Santa Fe, NM 87505-6438 | 2017-04-07 |
1376089672 | State of New Mexico-altsd | Case Manager/Care Coordinator | 2550 Cerrillos Road, Santa Fe, NM 87505 | 2017-01-10 |
1871831057 | Adam Garduno | Case Manager/Care Coordinator | 2325 Cerritos Road, Santa Fe, NM 87505 | 2013-01-23 |
1982954293 | Catherine Rule | Case Manager/Care Coordinator | 936 Dunlap St, Santa Fe, NM 87501-2416 | 2012-09-13 |
1720373004 | Whfp,llc | Case Manager/Care Coordinator | 2865 Cerrillos Rd, Santa Fe, NM 87507-2311 | 2011-06-14 |
1053543785 | Michelle Lynn | Case Manager/Care Coordinator | 918 Alto St, Santa Fe, NM 87501-2405 | 2009-08-13 |
1538399506 | Ellen Botsian | Case Manager/Care Coordinator | 2325 Cerrillos Road, Santa Fe, NM 87505 | 2009-07-23 |
1205017845 | Sergio Garcia | Case Manager/Care Coordinator | 6533 Valentine Way, Santa Fe, NM 87507-3162 | 2007-11-26 |
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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.