Phyllis Diane Morehead, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

1091032 Issued in KY

Practice address

500 North Mundo
Dulce, NM 87528-0187

Phone

(575) 759-3291

NPI assigned

Jan 13, 2012

Last updated

Feb 2, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Phyllis Diane Hawkins Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Dulce Health Center

  • General Acute Care Hospital
  • Dulce, NM
  • NPI 1750388963
  NPD (past)
• Jicarilla IHS Pharmacy

  dba Dulce IHS Pharmacy

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Dulce, NM
  • NPI 1124220900
  NPD (past)

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328140800000",
    "number": "1134490790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 187",
            "city": "DULCE",
            "state": "NM",
            "postal_code": "875280187",
            "telephone_number": "575-759-7237",
            "fax_number": "575-759-7294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 NORTH MUNDO",
            "city": "DULCE",
            "state": "NM",
            "postal_code": "875280187",
            "telephone_number": "575-759-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREHEAD",
        "first_name": "PHYLLIS",
        "middle_name": "DIANE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1091032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHYLLIS",
            "last_name": "HAWKINS",
            "middle_name": "DIANE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Richard Allen March, PA
• Maureen C Margiotta, RN
• Lloyd Merino, PA-C
• Cynthia M. Montanez, RN
• Eileen Claire Monyok, PA-C
• Northwest Reional Education Coop #2 (Dulce School Based Health Center)
• Amit M Patel, PHARMD
• Darlene Peshlakai Valdez
• Steven John Petrakis, MD
• Kelly Rae Pettigrew, OPTICIAN LICENSE FL

• Registered Nurse in Dulce, NM
• Providers in Dulce, NM by specialty
• Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; 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.