Nedra Ann Joe, RHIT,CCS,CNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

NM0060650708E Issued in NM

Practice address

39 Road 1490
La Plata, NM 87418-9603

Phone

(505) 330-4497

Fax

(505) 212-0646

NPI assigned

Aug 3, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1217721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217980800000",
    "number": "1447416045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 ROAD 1490",
            "city": "LA PLATA",
            "state": "NM",
            "postal_code": "874189603",
            "telephone_number": "505-330-4497",
            "fax_number": "505-212-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 ROAD 1490",
            "city": "LA PLATA",
            "state": "NM",
            "postal_code": "874189603",
            "telephone_number": "505-330-4497",
            "fax_number": "505-212-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOE",
        "first_name": "NEDRA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "RHIT,CCS,CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-03",
        "last_updated": "2008-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "NM",
            "license": "NM0060650708E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger Marvin Allyn, O.D.
• Kristal Kuzma
• Taylor Lusk

• All providers in La Plata, NM
• Nurse's Aide in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; 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.