Jessica Mascarenas, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

56759 Issued in NM

Practice address

5901 Herrera Dr
Santa Fe, NM 87507-2676

Phone

(505) 467-4205

Fax

(505) 471-3714

NPI assigned

Oct 5, 2023

Last updated

Oct 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1609656677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4229 VEGAS DE SUENOS",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875072638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 HERRERA DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875072676",
            "telephone_number": "505-467-4205",
            "fax_number": "505-471-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASCARENAS",
        "first_name": "JESSICA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NM",
            "license": "56759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Marx, CNP
• Mary Ellen Lawrence MD
• Mary McLellan, LCSW
• James T Mascarello, PH.D.
• Ernesto Mascarenas, RPH
• Michael Mason
• Massage & Banya Spa of Santa Fe
• Elisabeth E Massaro, LCSW
• Kimberly Massey, LMHC
• Peter Mast, CPSW

• School Registered Nurse in Santa Fe, NM
• Providers in Santa Fe, 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 Oct 5, 2023; 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.