Tamara Bennett, RN
Individual provider Active NPI School Registered Nurse · Grants, NM
NPI 1225966989 · NPPES record last updated May 12, 2026
Key facts
- NPI
- 1225966989
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- R86652 (NM)
- Practice address
- 413 Roosevelt Ave
Grants, NM 87020 - Phone
- (505) 285-2772
- Fax
- (505) 285-2633
- NPI assigned
- May 12, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R86652 | NM | MD | School Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | R86652 | NM | Yes |
Addresses
Primary practice location
413 Roosevelt Ave
Grants, NM 87020
Mailing address
PO Box 8
Grants, NM 87020-0008
Phone (505) 285-2772
Other providers in Grants, NM
- Amanda Jo Baca
- Lita C Bailly
- Alicia Renee Balok
- Jeremy Michael Barnes
- Noelle Baroody
- Shanelle Amber Benton
- Robin Simon Berrin
- Bestcare Pharmacy Grants LLC
- Bethphage
- Bethphage Mission West
All providers in Grants, NM · School Registered Nurse in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.