Individual provider Active NPI

Laura Ann Jaurequi, SCHOOL PSYCHOLOGIST

  • School Psychologist
  • Las Cruces, NM
National Provider Identifier
1043493836
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
262714 Issued in NM
Practice address
505 S Main St Ste 249
Las Cruces, NM 88001-1243
Phone
(575) 527-5823
Fax
(575) 527-5886
NPI assigned
Dec 14, 2007
Last updated
Aug 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 262714 NM Primary

Addresses

Primary practice location

505 S Main St Ste 249
Las Cruces, NM 88001-1243

Mailing address

505 S Main St Ste 249
Las Cruces, NM 88001-1243
Phone (575) 527-5823

Other practice location 1

12 Twin Buttes Drive
Zuni, NM 87327
Phone (575) 838-7242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
262714NMMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Las Cruces School District No. 2 CurrentSince Nov 8, 2020 Accepting new patients
Zuni Public School District Past Accepting new patients

Locations

505 S Main St
Ste 249
Las Cruces, NM 88001
Phone (575) 527-5823

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1043493836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S MAIN ST STE 249",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880011243",
            "telephone_number": "575-527-5823",
            "fax_number": "575-527-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S MAIN ST STE 249",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880011243",
            "telephone_number": "575-527-5823",
            "fax_number": "575-527-5886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Twin Buttes Drive",
            "address_purpose": "LOCATION",
            "city": "Zuni",
            "state": "NM",
            "postal_code": "87327",
            "country_code": "US",
            "telephone_number": "575-838-7242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAUREQUI",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "credential": "SCHOOL PSYCHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-14",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NM",
            "license": "262714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.