Active NPI
Janiah K. Shields, LMSW
- School Social Worker
- Rio Rancho, NM
National Provider Identifier
1316523533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- M-11091
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| M-11091 | NM | MD | School 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.