KALI SUZANNE NAN PETTIES T-CTL0220451
NPI 1639210404
Case Manager/Care Coordinator in Albuquerque, NM

Q: What is Kali Petties's NPI number?

The NPI number for Kali Petties is 1639210404. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Q: What is Kali Petties's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kali Petties was last updated on November 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since February 12, 2007

119 INDUSTRIAL AVE NE, ALBUQUERQUE, NM 87107(505) 345-2127(505) 345-2127 Get Directions Write a Review

NPPES record last updated: November 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kali Suzanne Nan Petties T-ctl0220451 NPPES

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

KALI SUZANNE NAN PETTIES T-CTL0220451 (NPI 1639210404) is an individual case manager/care coordinator provider in Albuquerque, New Mexico and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1639210404

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameKALI SUZANNE NAN PETTIESCredential: T-CTL0220451

Location Address119 INDUSTRIAL AVE NEAlbuquerque, NM 87107-2283

Mailing Address8624 Bluff Springs Dr NeAlbuquerque, NM 87113-2278 · (505) 681-8153 · Fax (505) 345-2127

Phone(505) 345-2127

Fax(505) 345-2127

Sole ProprietorNo

Enumeration DateFebruary 12, 2007

Last NPPES UpdateNovember 5, 2021

NPPES CertifiedNovember 5, 2021

✔ NPI 1639210404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedCounselorTaxonomy 101Y00000X · License T-CTL0220451 (NM)

119 INDUSTRIAL AVE NE, Albuquerque, NM 87107

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Other Providers at the Same Location NPPES 5

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