Individual provider Active NPI

Rita Cragun, LMSW

  • Social Worker
  • Truth Or Consequences, NM
National Provider Identifier
1154887297
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
X-10951 Issued in NM
Practice address
614 McAdoo St Ste B
Truth Or Consequences, NM 87901-2706
Phone
(575) 297-0171
Fax
(575) 894-7383
NPI assigned
Feb 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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 X-10951 NM Primary

Addresses

Primary practice location

614 McAdoo St Ste B
Truth Or Consequences, NM 87901-2706

Mailing address

614 McAdoo St Ste B
Truth Or Consequences, NM 87901-2706
Phone (575) 297-0171

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
X-10951NMMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1154887297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 MCADOO ST STE B",
            "city": "TRUTH OR CONSEQUENCES",
            "state": "NM",
            "postal_code": "879012706",
            "telephone_number": "575-297-0171",
            "fax_number": "575-894-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 MCADOO ST STE B",
            "city": "TRUTH OR CONSEQUENCES",
            "state": "NM",
            "postal_code": "879012706",
            "telephone_number": "575-297-0171",
            "fax_number": "575-894-7383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAGUN",
        "first_name": "RITA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-13",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "X-10951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Truth Or Consequences, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.