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

Susan Ott Stavis

Individual provider Case Manager/Care Coordinator · NPI 1003766551

Susan Ott Stavis is a Case Manager/Care Coordinator in Tijeras, New Mexico. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026
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Practice location Address checks out

25 Campo Rd
Tijeras, NM 87059-7615
Phone: (208) 818-4774
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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 number1003766551
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 2, 2026
Last updated in NPPESFebruary 2, 2026
Certification dateFebruary 2, 2026
Mailing address25 Campo Rd, Tijeras, NM 87059-7615

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