Grammy's House Artesia Domestic Violence Shelter

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

1654490 Issued in ND

Legal business name

GRAMMY'S HOUSE ARTESIA DOMESTIC VIOLENCE SHELTER

Practice address

811 W Texas Ave
Artesia, NM 88210-1968

Phone

(505) 748-1198

Fax

(505) 748-7334

NPI assigned

Aug 22, 2007

Last updated

Aug 22, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Nancy Husselman

Title

Interim Executive Director

Phone

(505) 748-1198

Specialties & licenses 1

Addresses

Tax ID family

Grammy's House Artesia Domestic Violence Shelter2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Grammy's House Artesia Domestic Violence Shelter Inc.

  • Social Worker
  • Artesia, NM
  • NPI 1396971222
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Ray Martinez, LMSW

  • Mental Health Counselor
  • Artesia, NM
  • NPI 1538492863
  NPD (past)

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1164615209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 W TEXAS AVE",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882101968",
            "telephone_number": "505-748-1198",
            "fax_number": "505-748-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 W TEXAS AVE",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882101968",
            "telephone_number": "505-748-1198",
            "fax_number": "505-748-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAMMY'S HOUSE ARTESIA DOMESTIC VIOLENCE SHELTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "HUSSELMAN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "INTERIM EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-748-1198",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "ND",
            "license": "1654490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Ann Garner
• Maria Carmelita Go, MD
• Stephanie L Gomez, FNP-C
• Kyrah Gonzales
• Michael John Grafe, D.O.
• Grammy's House Artesia Domestic Violence Shelter Inc.
• Janet M. Grittini, SCHOOL PSYCHOLOGIST
• Angelica Guin, RN
• Katelyn Ann Gunn
• Stephanie Flinko Gutierrez, SLP

• Voluntary or Charitable Agency in Artesia, NM
• Providers in Artesia, NM by specialty
• Voluntary or Charitable Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.