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BERTHA YOUNGBLOOD
NPI 1043185820
Case Manager/Care Coordinator in Espanola, NM

Active since October 09, 2025
904 E FAIRVIEW LN UNIT B, ESPANOLA, NM 87532(505) 412-5269 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bertha Youngblood NPPES

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

BERTHA YOUNGBLOOD (NPI 1043185820) is an individual case manager/care coordinator provider in Espanola, New Mexico and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1043185820
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameBERTHA YOUNGBLOOD
Location Address904 E FAIRVIEW LN UNIT BEspanola, NM 87532-2806
Mailing Address904 E Fairview Ln Unit BEspanola, NM 87532-2806 · (505) 412-5269
Phone(505) 412-5269
Sole ProprietorYes
Enumeration DateOctober 9, 2025
NPPES CertifiedOctober 9, 2025
✔ NPI 1043185820 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.
904 E FAIRVIEW LN UNIT B, Espanola, NM 87532
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. SANTIAGO CRISTOBAL GRIEGO SR. LSAA
Counselor (Addiction (Substance Use Disorder))
904 E FAIRVIEW LN UNIT B
ESPANOLA, NM 87532
Rio Arriba County (505) 692-4708

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 Bertha Youngblood's NPI number?

The NPI number for Bertha Youngblood is 1043185820. It was assigned to this individual provider in the NPPES registry on October 9, 2025.

Where is Bertha Youngblood located?

Bertha Youngblood practices at 904 E Fairview Ln Unit B, Espanola, NM 87532. The listed phone number is (505) 412-5269.

What is Bertha Youngblood'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 Bertha Youngblood was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.