Jodie Lynn Bookout, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

345592 Issued in NM

Practice address

1100 S Nickel St
Deming, NM 88030-6301

Phone

(575) 546-2678

Fax

(575) 544-0918

NPI assigned

Mar 24, 2017

Last updated

Mar 24, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490313600000",
    "number": "1578094116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S NICKEL ST",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880306301",
            "telephone_number": "575-546-2678",
            "fax_number": "575-544-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S NICKEL ST",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880306301",
            "telephone_number": "575-546-2678",
            "fax_number": "575-544-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOKOUT",
        "first_name": "JODIE",
        "middle_name": "LYNN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-24",
        "last_updated": "2017-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "R57019",
            "primary": false
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NM",
            "license": "345592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bestcare Pharmacy Deming
• Braeden Blandford, PHARM.D
• Blue Skies Health Care, Inc
• Blue Skies Primary Care PC
• Richard S Bohnstedt, DMD
• Thomas Martin Boyle, MD
• David Eaton Bragg, LISW
• Christina Delao Breeden, M.A.,CCC-SLP
• Lauren Frances Brinch, LMSW
• Kathleen Ann Brown, CNP

• School Registered Nurse in Deming, NM
• Providers in Deming, NM by specialty
• School Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.