One provider matched this Medicaid ID.
New Mexico Medicaid ID 873914 resolves to a single NPI record. Open the full profile for complete detail.
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Other
- 7813360· Issued by THE NATIONAL BOARD OF NUTRITION SUPPORT CERTIFICATION
- LD-1298NM· Issued by STATE OF NUEW MEXICO REGULATIONS & LICENSING DEPART NUTRITION AND DIETETICS PRAC
- 725740· Issued by ACADEMY OF NUTRITION AND DIETETICS
Medicaid
- 873914NM
Source: NPPES public registry.
Medicare enrollment
This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.
Practitioner
- I20240208002296Registered Dietitian or Nutrition ProfessionalTX
- I20240409000716Registered Dietitian or Nutrition ProfessionalCO
Source: CMS PECOS public enrollment file.
ReferenceAbout state Medicaid identifiers
State Medicaid programmes assign each enrolled provider a state-scoped identifier used on Medicaid claims. The identifier is reported to the federal NPPES registry alongside the provider's NPI and is mirrored here from the public dissemination file. Each state administers its own Medicaid programme, so the same provider can hold different Medicaid numbers in different states.