New Mexico Nurse, LLC.

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

FA0066866 Issued in NM

Legal business name

NEW MEXICO NURSE, LLC.

Doing business as

Route 66 Medical Staffing

Practice address

3939 San Pedro Dr NE
BLDG. C
Albuquerque, NM 87110-8900

Phone

(505) 508-1881

Fax

(505) 508-1909

NPI assigned

Nov 24, 2009

Last updated

Nov 24, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristin Morriss

Title

General Manager

Phone

(505) 508-1881

Specialties & licenses 1

Addresses

Other names 1

• Route 66 Medical Staffing Doing business as

Locations

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259020800000",
    "number": "1023346350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 CUTLER AVE NE",
            "address_2": "STE. D2-180",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104084",
            "telephone_number": "505-508-1881",
            "fax_number": "505-508-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 SAN PEDRO DR NE",
            "address_2": "BLDG. C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871108900",
            "telephone_number": "505-508-1881",
            "fax_number": "505-508-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO NURSE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-24",
        "last_updated": "2009-11-24",
        "status": "A",
        "authorized_official_last_name": "MORRISS",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "505-508-1881"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NM",
            "license": "FA0066866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Route 66 Medical Staffing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nursing Care Agency in Albuquerque, NM
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; 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.