Rockin J Reawakenings, Inc

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

ROCKIN J REAWAKENINGS, INC

Practice address

234 County Road 19
Prewitt, NM 87045-8704

Phone

(505) 409-7764

NPI assigned

Apr 19, 2019

Last updated

May 9, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jess Alan Butler

Title

Director

Phone

(505) 409-7764

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557360000000",
    "number": "1497318976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 555",
            "city": "PREWITT",
            "state": "NM",
            "postal_code": "870450555",
            "telephone_number": "505-577-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 COUNTY ROAD 19",
            "city": "PREWITT",
            "state": "NM",
            "postal_code": "870458704",
            "telephone_number": "505-409-7764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKIN J REAWAKENINGS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-19",
        "last_updated": "2019-05-09",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "JESS",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "505-409-7764"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Moore, RN
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• Tumble Weed Transportation LLC

• Voluntary or Charitable Agency in Prewitt, NM
• Providers in Prewitt, NM by specialty
• Voluntary or Charitable Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.