Individual provider Active NPI

Nancy Storm Julian, L.I.S.W.

  • School Social Worker
  • Rio Rancho, NM
National Provider Identifier
1215119714
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
261386 Issued in NM
Practice address
301 Loma Colorado St NE
Rio Rancho, NM 87124-6562
Phone
(505) 896-5955
Fax
(505) 896-5911
NPI assigned
Nov 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 261386 NM Primary

Addresses

Primary practice location

301 Loma Colorado St NE
Rio Rancho, NM 87124-6562

Mailing address

301 Loma Colorado St NE
Rio Rancho, NM 87124-6562
Phone (505) 896-5955

Other identifiers 1

IdentifierTypeStateIssuer
28941MedicaidNM

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
261386NMMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1215119714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LOMA COLORADO ST NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871246562",
            "telephone_number": "505-896-5955",
            "fax_number": "505-896-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 LOMA COLORADO ST NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871246562",
            "telephone_number": "505-896-5955",
            "fax_number": "505-896-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JULIAN",
        "first_name": "NANCY",
        "middle_name": "STORM",
        "name_prefix": "Ms.",
        "credential": "L.I.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NM",
            "license": "261386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "28941",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Nov 27, 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.