Organization Active NPI

Bernalillo Public Schools

  • Speech-Language Pathologist
  • Bernalillo, NM
National Provider Identifier
1033210448
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1556 Issued in NM
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 Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 1556 NM Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
L4664MedicaidNM

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.

Verify at the official NPI Registry.