Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacky Olivas

Individual provider Case Manager/Care Coordinator · NPI 1801670161

Jacky Olivas is a Case Manager/Care Coordinator in Taos, New Mexico. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

105 Bertha Rd Ste B
Taos, NM 87571-7148
Phone: (575) 758-4297
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1801670161
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 18, 2023
Last updated in NPPESAugust 18, 2023
Certification dateAugust 18, 2023
Mailing address439 52nd St Sw, Albuquerque, NM 87105-2539

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