Active NPI
Jessica Dalton, RN
- School Registered Nurse
- Kirtland, NM
National Provider Identifier
1245602127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- R66047
- Practice address
- 538 County Road 6100
Kirtland, NM 87417-9317 - Phone
- (505) 598-6114
- Fax
- (505) 598-9562
- NPI assigned
- Oct 30, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | R66047 | NM | Primary |
Addresses
Primary practice location
538 County Road 6100
Kirtland, NM 87417-9317
Mailing address
538 County Road 6100
Kirtland, NM 87417-9317
Phone (505) 598-6114
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R66047 | NM | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446163200000",
"number": "1245602127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "538 COUNTY ROAD 6100",
"city": "KIRTLAND",
"state": "NM",
"postal_code": "874179317",
"telephone_number": "505-598-6114",
"fax_number": "505-598-9562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "538 COUNTY ROAD 6100",
"city": "KIRTLAND",
"state": "NM",
"postal_code": "874179317",
"telephone_number": "505-598-6114",
"fax_number": "505-598-9562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALTON",
"first_name": "JESSICA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-30",
"last_updated": "2015-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NM",
"license": "R66047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kirtland, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.