IndividualActive
Teddey Provencio
NPI 1407158298 · Case Manager/Care Coordinator · Las Cruces, NM
Teddey Provencio is a Case Manager/Care Coordinator provider in Las Cruces, NM (NPI 1407158298).
Provider details
- NPI number
- 1407158298
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
118 S Main St
Las Cruces, NM 88001
Phone: (575) 527-7975
Fax: (575) 647-2898
Street-level locationGet directions
Mailing address
100 W Griggs Ave
Las Cruces, NM 88001-1234
Registry dates
- Enumerated
- 2010-11-30
- Last updated
- 2010-11-30
Frequently asked questions
- What is Teddey Provencio's NPI number?
- Teddey Provencio's National Provider Identifier (NPI) is 1407158298, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Teddey Provencio's specialty?
- Teddey Provencio is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator (Other Service Providers).
- Where is Teddey Provencio located?
- Teddey Provencio's practice location on file with NPPES is 118 S Main St, Las Cruces, NM 88001.
- What is Teddey Provencio's phone number?
- The practice phone number listed in the NPPES registry for Teddey Provencio is (575) 527-7975.
- Is Teddey Provencio's NPI active?
- Yes — Teddey Provencio's NPI (1407158298) is active in the NPPES registry as of the last update on 2010-11-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.