Individual provider Active NPI

Janiah K. Shields, LMSW

  • School Social Worker
  • Rio Rancho, NM
National Provider Identifier
1316523533
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
M-11091 Issued in NM
Practice address
Five Sandoval Indian Pueblos Inc4321-B Fulcum Way, NE
Rio Rancho, NM 87144
Phone
(505) 331-0695
NPI assigned
Mar 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X M-11091 NM
School Social Worker 1041S0200X M-11091 NM Primary

Addresses

Primary practice location

Five Sandoval Indian Pueblos Inc4321-B Fulcum Way, NE
Rio Rancho, NM 87144

Mailing address

Five Sandoval Indian Pueblos Inc4321-B Fulcum Way, NE
Rio Rancho, NM 87144
Phone (505) 331-0695

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jshields@fsipinc.org Direct

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
M-11091NMMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1316523533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FIVE SANDOVAL INDIAN PUEBLOS INC4321-B FULCUM WAY, NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "87144",
            "telephone_number": "505-331-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FIVE SANDOVAL INDIAN PUEBLOS INC4321-B FULCUM WAY, NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "87144",
            "telephone_number": "505-331-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "JANIAH",
        "middle_name": "K.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-18",
        "last_updated": "2024-04-10",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "M-11091",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NM",
            "license": "M-11091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jshields@fsipinc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Five Sandoval Indian Pueblos INC4321-B Fulcum Way, NE",
            "city": "Rio Rancho",
            "state": "NM",
            "country_code": "US",
            "postal_code": "87144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 10, 2024; 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.