Individual provider Active NPI

Adella Margaret Vargas, RN

  • School Registered Nurse
  • Tucumcari, NM
National Provider Identifier
1629746219
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
R60176 Issued in NM
Practice address
1701 S 9TH St
Tucumcari, NM 88401-3281
Phone
(575) 461-3910
NPI assigned
Aug 31, 2021
Last updated
Aug 31, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X R60176 NM Primary

Addresses

Primary practice location

1701 S 9TH St
Tucumcari, NM 88401-3281

Mailing address

700 W. Amarosa Ave.
Tucumcari, NM 88401
Phone (575) 461-3910

Other practice location 1

1100 S 7th St
Tucumcari, NM 88401-3397
Phone (575) 461-3910

Other practice location 2

914 S 5th St
Tucumcari, NM 88401-3226
Phone (575) 461-3910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R60176NMMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1629746219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W. AMAROSA AVE.",
            "city": "TUCUMCARI",
            "state": "NM",
            "postal_code": "88401",
            "telephone_number": "575-461-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 S 9TH ST",
            "city": "TUCUMCARI",
            "state": "NM",
            "postal_code": "884013281",
            "telephone_number": "575-461-3910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 S 7th St",
            "address_purpose": "LOCATION",
            "city": "Tucumcari",
            "state": "NM",
            "postal_code": "884013397",
            "country_code": "US",
            "telephone_number": "575-461-3910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "914 S 5th St",
            "address_purpose": "LOCATION",
            "city": "Tucumcari",
            "state": "NM",
            "postal_code": "884013226",
            "country_code": "US",
            "telephone_number": "575-461-3910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARGAS",
        "first_name": "ADELLA",
        "middle_name": "MARGARET",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NM",
            "license": "R60176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucumcari, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.