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TEDDEY PROVENCIO
NPI 1407158298
Case Manager/Care Coordinator in Las Cruces, NM

Active since November 30, 2010
118 S MAIN ST, LAS CRUCES, NM 88001(575) 527-7975(575) 647-2898 Get Directions Write a Review

NPPES record last updated: November 30, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Teddey Provencio NPPES

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

TEDDEY PROVENCIO (NPI 1407158298) is an individual case manager/care coordinator provider in Las Cruces, New Mexico and active in the NPI registry since November 2010.

NPPES Registry Identity

NPI1407158298
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameTEDDEY PROVENCIO
Location Address118 S MAIN STLas Cruces, NM 88001
Mailing Address100 W Griggs AveLas Cruces, NM 88001-1234 · (575) 647-2800 · Fax (575) 647-2898
Phone(575) 527-7975
Fax(575) 647-2898
Sole ProprietorNo
Enumeration DateNovember 30, 2010
✔ NPI 1407158298 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.
118 S MAIN ST, Las Cruces, NM 88001
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Other Identifiers 1

Medicaid47043NM

Other Providers at the Same Location NPPES 20

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

MRS. GUADALUPE SANCHEZ-VIGIL MSW
Case Manager/Care Coordinator
118 S MAIN ST
LAS CRUCES, NM 88001
Doña Ana County (575) 647-2841
MS. ELIZABETH INEZ FERNANDEZ LCSW
Social Worker (Clinical)
118 S MAIN ST
LAS CRUCES, NM 88001
Doña Ana County (575) 647-2800
ANNA LILIA VARGAS
Specialist
118 S MAIN ST
LAS CRUCES, NM 88001
Doña Ana County (575) 647-2878
NATALIA BENAVIDEZ RN
Registered Nurse
118 S MAIN ST
LAS CRUCES, NM 88001
Doña Ana County (575) 647-2800
RACHEL PARNACHER
Case Manager/Care Coordinator
118 S MAIN ST
LAS CRUCES, NM 88001
Doña Ana County (575) 647-2881
DIEGO RUBEN VALLEJO
Peer Specialist
118 S MAIN ST
LAS CRUCES, NM 88001
Doña Ana County (575) 993-2956
MICHAEL SANCHEZ
Specialist
118 S MAIN ST
LAS CRUCES, NM 88001
Doña Ana County (575) 647-2879
MRS. DANIELLE ROSEE AMELL BSW
Case Manager/Care Coordinator
118 S MAIN ST
LAS CRUCES, NM 88001
Doña Ana County (575) 647-2878

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 Teddey Provencio's NPI number?

The NPI number for Teddey Provencio is 1407158298. It was assigned to this individual provider in the NPPES registry on November 30, 2010.

Where is Teddey Provencio located?

Teddey Provencio practices at 118 S Main St, Las Cruces, NM 88001. The listed phone number is (575) 527-7975.

What is Teddey Provencio'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 Teddey Provencio was last updated on November 30, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.