Individual provider Active NPI

Dawn Loree Schallock, M.S.N., R.N.

  • School Registered Nurse
  • Las Cruces, NM
National Provider Identifier
1134542186
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
R23259 Issued in NM
Practice address
4675 Peachtree Hills Rd.
Las Cruces, NM 88012
Phone
(575) 527-9490
Fax
(575) 527-9491
NPI assigned
Jan 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X R23259 NM Primary

Addresses

Primary practice location

4675 Peachtree Hills Rd.
Las Cruces, NM 88012

Mailing address

4675 Peachtree Hills Rd.
Las Cruces, NM 88012
Phone (575) 527-9490

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
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
R23259NMMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390867200000",
    "number": "1134542186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4675 PEACHTREE HILLS RD.",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88012",
            "telephone_number": "575-527-9490",
            "fax_number": "575-527-9491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4675 PEACHTREE HILLS RD.",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88012",
            "telephone_number": "575-527-9490",
            "fax_number": "575-527-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHALLOCK",
        "first_name": "DAWN",
        "middle_name": "LOREE",
        "name_prefix": "Mrs.",
        "credential": "M.S.N., R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-28",
        "last_updated": "2014-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NM",
            "license": "R23259",
            "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 Jan 28, 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.