Individual provider Active NPI

Richael Anne Bouvet-Jenkins, LMSW

  • Social Worker
  • Las Cruces, NM
National Provider Identifier
1043628753
Registry record updated Jul 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
M-08424 Issued in NM
Practice address
755 W. Hadley Avenue
Las Cruces, NM 88005
Phone
(575) 652-3135
Fax
(575) 652-3135
NPI assigned
Jul 25, 2014
Last updated
Jul 25, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X M-08424 NM Primary

Addresses

Primary practice location

755 W. Hadley Avenue
Las Cruces, NM 88005

Mailing address

1128 Gardner Ave
Las Cruces, NM 88001-5440
Phone (575) 640-0294

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
M-08424NMMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406246400000",
    "number": "1043628753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 GARDNER AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015440",
            "telephone_number": "575-640-0294",
            "fax_number": "575-652-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 W. HADLEY AVENUE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88005",
            "telephone_number": "575-652-3135",
            "fax_number": "575-652-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUVET-JENKINS",
        "first_name": "RICHAEL",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-25",
        "last_updated": "2014-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "M-08424",
            "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 Jul 25, 2014; 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.