NPIMap

Organization Active NPI

Grammy'S House Artesia Domestic Violence Shelter Inc.

  • Social Worker
  • Artesia, NM
National Provider Identifier
1396971222
Registry record updated Jun 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
06469 LMSW Issued in NM
Legal business name
GRAMMY'S HOUSE ARTESIA DOMESTIC VIOLENCE SHELTER INC.
Practice address
811 W Texas
Artesia, NM 88210
Phone
(575) 748-1198
Fax
(575) 748-7334
NPI assigned
Jun 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2009

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

Authorized official

Name
Mr. David Ray Martinez, LMSWNPI 1538492863
Title
Executive Director
Phone
(575) 748-1198

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)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X 06469 LMSW NM Primary

Addresses

Primary practice location

811 W Texas
Artesia, NM 88210

Mailing address

PO Box 654
Artesia, NM 88210
Phone (575) 748-1198

National Provider Directory

National Provider Directory
Tax ID family
Grammy'S House Artesia Domestic Violence Shelter2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244160000000",
    "number": "1396971222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 654",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "88210",
            "telephone_number": "575-748-1198",
            "fax_number": "575-748-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 W TEXAS",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "88210",
            "telephone_number": "575-748-1198",
            "fax_number": "575-748-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAMMY'S HOUSE ARTESIA DOMESTIC VIOLENCE SHELTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-05",
        "last_updated": "2009-06-05",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "575-748-1198",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "NM",
            "license": "06469 LMSW",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Artesia, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2009; 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.