Active NPI
Bernalillo Public Schools
- Speech-Language Pathologist
- Bernalillo, NM
National Provider Identifier
1033210448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1556
- Legal business name
- BERNALILLO PUBLIC SCHOOLS
- Practice address
- 224 N Camino del Pueblo
Bernalillo, NM 87004-6146 - Phone
- (505) 404-5727
- Fax
- (505) 867-7891
- NPI assigned
- Sep 26, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Gail Niemann
- Title
- Speech and Language Pathologist
- Phone
- (505) 404-5727
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1556 | NM | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
224 N Camino del Pueblo
Bernalillo, NM 87004-6146
Mailing address
224 N Camino del Pueblo
Bernalillo, NM 87004-6146
Phone (505) 404-5727
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| L4664 | Medicaid | NM |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1033210448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 N CAMINO DEL PUEBLO",
"city": "BERNALILLO",
"state": "NM",
"postal_code": "870046146",
"telephone_number": "505-404-5727",
"fax_number": "505-867-7891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 N CAMINO DEL PUEBLO",
"city": "BERNALILLO",
"state": "NM",
"postal_code": "870046146",
"telephone_number": "505-404-5727",
"fax_number": "505-867-7891"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BERNALILLO PUBLIC SCHOOLS",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NIEMANN",
"authorized_official_first_name": "GAIL",
"authorized_official_title_or_position": "SPEECH AND LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "505-404-5727"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "NM",
"license": "1556",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "L4664",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bernalillo, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.