Robert F. Kennedy Charter High School

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ROBERT F. KENNEDY CHARTER HIGH SCHOOL

Doing business as

Robert F. Kennedy School Based Heath Center

Practice address

4300 Blake SW
Albuquerque, NM 87121

Phone

(505) 243-1118

Fax

(505) 242-7444

NPI assigned

Dec 6, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Bonnie K. Kaueman, RN

Title

Robert. F. Kennedy SBHC Coordinator

Phone

(505) 239-7589

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Robert F. Kennedy School Based Heath Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Robert F Kennedy Charter High School2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Robert F. Kennedy SBHC

  • Social Worker
  • Albuquerque, NM
  • NPI 1912144890
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carletta Sarah Bullock, M.D.

  • Family Medicine Physician
  • Albuquerque, NM
  • NPI 1063653947
  NPD (past)
• Debra Rockey, MSN, FNP-BC

  • Family Nurse Practitioner
  • Albuquerque, NM
  • NPI 1477125797
  NPD (past)

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267660800000",
    "number": "1013190610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 BLAKE SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87121",
            "telephone_number": "505-243-1118",
            "fax_number": "505-242-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 BLAKE SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87121",
            "telephone_number": "505-243-1118",
            "fax_number": "505-242-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT F. KENNEDY CHARTER HIGH SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2010-03-04",
        "status": "A",
        "authorized_official_last_name": "KAUEMAN",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "ROBERT. F. KENNEDY SBHC COORDINATOR",
        "authorized_official_telephone_number": "505-239-7589",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NM",
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NM",
            "license": "3201078041",
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NM",
            "license": "CL00D110644",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1C01",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert F. Kennedy School Based Heath Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Robbins Jr., LCSW
• Wendy Spring Robbins, PA
• Hoyt Edmond Roberson, LMFT
• Robert C Supple DMD
• Robert C. Urquhart DDS, PC
• Robert F. Kennedy SBHC
• Robert Hochberg, DDS, LLC (Endodontic Associates of Albuquerque)
• Robert S.Lash, D.D.S.
• Robert Thomson Ma, LLC
• Robert V Edwards DCPC (Edwards Chiropractic Center)

• Clinic/Center in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.