SUSAN OTT STAVIS
NPI 1003766551
Case Manager/Care Coordinator in Tijeras, NM

Active since February 02, 2026
25 CAMPO RD, TIJERAS, NM 87059(208) 818-4774 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Susan Ott Stavis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN OTT STAVIS (NPI 1003766551) is an individual case manager/care coordinator provider in Tijeras, New Mexico and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1003766551
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameSUSAN OTT STAVIS
Location Address25 CAMPO RDTijeras, NM 87059-7615
Mailing Address25 Campo RdTijeras, NM 87059-7615 · (208) 818-4774
Sole ProprietorYes
Enumeration DateFebruary 2, 2026
NPPES CertifiedFebruary 2, 2026
NPI 1003766551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition

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.

25 CAMPO RD, Tijeras, NM 87059

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Stavis's NPI number?

The NPI number for Susan Stavis is 1003766551. It was assigned to this individual provider in the NPPES registry on February 2, 2026.

Where is Susan Stavis located?

Susan Stavis practices at 25 Campo Rd, Tijeras, NM 87059. The listed phone number is (208) 818-4774.

What is Susan Stavis's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Susan Stavis was last updated on February 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.