Active NPI
Rebecca Haley, RN
- School Registered Nurse
- Rio Rancho, NM
National Provider Identifier
1114580990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 451838
- Practice address
- 500 Laser Rd NE
Rio Rancho, NM 87124-4517 - Phone
- (505) 962-1242
- NPI assigned
- Apr 17, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 451838 | TX | Primary |
Addresses
Primary practice location
500 Laser Rd NE
Rio Rancho, NM 87124-4517
Mailing address
500 Laser Rd NE
Rio Rancho, NM 87124-4517
Phone (505) 962-1242
Other names 1
- Rebecca Odom
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 451838 | TX | MD | School Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rio Rancho Public Schools | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- School Social Worker
- Rio Rancho, NM
- NPI 1033458088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555459200000",
"number": "1114580990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 LASER RD NE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871244517",
"telephone_number": "505-962-1242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 LASER RD NE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871244517",
"telephone_number": "505-962-1242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALEY",
"first_name": "REBECCA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-17",
"last_updated": "2019-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "TX",
"license": "451838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "ODOM",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.