Jessica E Nandino, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN-72133 Issued in NM

Practice address

110 State Highway 344
Edgewood, NM 87015

Phone

(505) 431-3822

Fax

(505) 431-3773

NPI assigned

Aug 15, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southwest Regional Education Cooperative

  • Local Education Agency (LEA)
  • Deming, NM
  • NPI 1114081858
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1003544271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 E POPLAR ST",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880304807",
            "telephone_number": "575-546-5951",
            "fax_number": "575-546-5994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 STATE HIGHWAY 344",
            "city": "EDGEWOOD",
            "state": "NM",
            "postal_code": "87015",
            "telephone_number": "505-431-3822",
            "fax_number": "505-431-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANDINO",
        "first_name": "JESSICA",
        "middle_name": "E",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "RN-72133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Monique Montez
• Ann Losee Morgan, D.O.M.
• Adamatta Mudada, PHARMD
• Mugshot Mugs
• Ann Marie Musto
• Noemi Navarrete Dominguez
• Jennifer Nelson, LCSW
• New Mexico Inner Wellness Center, Inc
• New Mexico Primary Care & Midwifery Services, Inc.
• Thu Thanh Nguyen, FNP

• Registered Nurse in Edgewood, NM
• Providers in Edgewood, NM by specialty
• Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.