NPIMap

Organization Active NPI

Aztec Municipal School District

  • School Social Worker
  • Aztec, NM
National Provider Identifier
1467856401
Registry record updated Oct 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
M-08762 Issued in NM
Legal business name
AZTEC MUNICIPAL SCHOOL DISTRICT
Practice address
1607 W Aztec Blvd
Aztec, NM 87410-1805
Phone
(505) 334-3695
NPI assigned
Oct 20, 2014
Last updated
Oct 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2014

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

Authorized official

Name
Tamera Klohn
Title
Medicaid Coordinator
Phone
(505) 334-3695

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X M-08762 NM Primary

Addresses

Primary practice location

1607 W Aztec Blvd
Aztec, NM 87410-1805

Mailing address

1607 W Aztec Blvd
Aztec, NM 87410-1805

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413763200000",
    "number": "1467856401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 W AZTEC BLVD",
            "city": "AZTEC",
            "state": "NM",
            "postal_code": "874101805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 W AZTEC BLVD",
            "city": "AZTEC",
            "state": "NM",
            "postal_code": "874101805",
            "telephone_number": "505-334-3695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZTEC MUNICIPAL SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-20",
        "last_updated": "2014-10-20",
        "status": "A",
        "authorized_official_last_name": "KLOHN",
        "authorized_official_first_name": "TAMERA",
        "authorized_official_title_or_position": "MEDICAID COORDINATOR",
        "authorized_official_telephone_number": "505-334-3695"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NM",
            "license": "M-08762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aztec, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; 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.