Active NPI
Jessica Rae Van Wormer
- Psychiatry Physician
- Alamogordo, NM
National Provider Identifier
1316856271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 91624
- Practice address
- 2669 Scenic Dr
Alamogordo, NM 88310-8700 - Phone
- (575) 439-6100
- NPI assigned
- Sep 4, 2026
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 91624 | NM | Primary |
Addresses
Primary practice location
2669 Scenic Dr
Alamogordo, NM 88310-8700
Mailing address
772 Cholla Dr
Alamogordo, NM 88310-7780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788480000000",
"number": "1316856271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "772 CHOLLA DR",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883107780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2669 SCENIC DR",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883108700",
"telephone_number": "575-439-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN WORMER",
"first_name": "JESSICA",
"middle_name": "RAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-04",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NM",
"license": "91624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alamogordo, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.