Mia Jade Palomares, LAT, ATC
NPI 1891451084ActiveIndividual· Specialist/Technologist, Athletic Trainer· Farmington, NM
Specialist/Technologist, Athletic Trainer (LAT, ATC) in Farmington, New Mexico, licensed in NM, with an NPI issued in November 2021.
Overview
| NPI | 1891451084 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LAT, ATC |
| Sole proprietor | Yes |
| NPI issued | Nov 11, 2021 |
| Last updated in NPPES | Aug 6, 2022 |
| Certified by provider | Aug 4, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist/Technologist, Athletic Trainer Primary | 2255A2300X | 888 | NM |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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