Active NPI
Northeast Regional Education Cooperative
- Local Education Agency (LEA)
- Las Vegas, NM
National Provider Identifier
1265362735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Legal business name
- NORTHEAST REGIONAL EDUCATION COOPERATIVE
- Practice address
- 1031 11TH St.
Las Vegas, NM 87701 - Phone
- (505) 459-8118
- NPI assigned
- May 19, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Juan Portley, PH.D
- Title
- Exec. Director
- Phone
- (505) 459-8118
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | Primary |
Addresses
Primary practice location
1031 11TH St.
Las Vegas, NM 87701
Mailing address
1031 11TH St.
Las Vegas, NM 87701
Phone (505) 555-5555
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Las Vegas, NM
- NPI 1053248898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779148800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782864000000",
"number": "1265362735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1031 11TH ST.",
"city": "LAS VEGAS",
"state": "NM",
"postal_code": "87701",
"telephone_number": "505-555-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1031 11TH ST.",
"city": "LAS VEGAS",
"state": "NM",
"postal_code": "87701",
"telephone_number": "505-459-8118"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHEAST REGIONAL EDUCATION COOPERATIVE",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-19",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A",
"authorized_official_last_name": "PORTLEY",
"authorized_official_first_name": "JUAN",
"authorized_official_title_or_position": "EXEC. DIRECTOR",
"authorized_official_telephone_number": "505-459-8118",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D"
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.