Sonja H Emerson, RN
Individual provider Active NPI Community Health Registered Nurse · Dulce, NM
NPI 1043594906 · NPPES record last updated Oct 10, 2011
Key facts
- NPI
- 1043594906
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- R181458 (MD)
- Practice address
- 500 North Mundo
Dulce, NM 87528-0187 - Phone
- (575) 759-7286
- Fax
- (575) 759-7289
- NPI assigned
- Oct 10, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R181458 | MD | MD | Community Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dulce Health Center | Past |
Accepting new patients | |
| Jicarilla IHS Pharmacy | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | R181458 | MD | Yes |
Addresses
Primary practice location
500 North Mundo
Dulce, NM 87528-0187
Mailing address
P O Box 187
500 North Mundo
Dulce, NM 87528-0187
Phone (575) 759-7286
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 320057 | Other | NM | MEDICARE PART A |
| HSZ196 | Other | NM | MEDICARE PART B |
| K0003526 | Medicaid | NM |
Other providers in Dulce, NM
- Susan Frances Donlon
- Dulce Health Center
- Dulce Independent School District
- Dulce Independent Schools
- Carrie Lynn Emens
- Allen Michael Frey
- Ursula Michael Gabriel
- Reyna R Garcia
- Margaret Jean Gillean
- Michael W Goldberg
All providers in Dulce, NM · Community Health Registered Nurse in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.