Amy Joyce Gilbreath, RN
Individual provider Active NPI School Registered Nurse · Grady, NM
NPI 1043866940 · NPPES record last updated Aug 15, 2019
Key facts
- NPI
- 1043866940
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- 57171 (NM)
- Practice address
- 100 Franklin St.
Grady, NM 88120 - Phone
- (575) 576-2466
- Fax
- (575) 576-2772
- NPI assigned
- Aug 15, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 57171 | NM | MD | School Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Jon School Based Health Center | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse |
163WS0200X | 57171 | NM | Yes |
Addresses
Primary practice location
100 Franklin St.
Grady, NM 88120
Mailing address
PO Box 5
San Jon, NM 88434-0005
Phone (575) 576-2466
Other providers in Grady, NM
All providers in Grady, NM · School 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 Aug 15, 2019. 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.