NPIMap

Organization Active NPI

Jefferson Montessori Academy

  • Clinical Social Worker
  • Carlsbad, NM
National Provider Identifier
1700544020
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JEFFERSON MONTESSORI ACADEMY
Practice address
500 W. Church Street
Carlsbad, NM 88220
Phone
(575) 234-1703
Fax
(575) 887-9391
NPI assigned
Dec 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Authorized official

Name
Ms. Kelli M. Barta
Title
Head Administrator
Phone
(575) 234-1701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

500 W. Church Street
Carlsbad, NM 88220

Mailing address

500 W. Church Street
Carlsbad, NM 88220
Phone (575) 234-1703

National Provider Directory

National Provider Directory

Locations

500 W Church St
Carlsbad, NM 88220
Phone (575) 234-1703

NPI Registry JSON

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638489600000",
    "number": "1700544020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W. CHURCH STREET",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "88220",
            "telephone_number": "575-234-1703",
            "fax_number": "575-887-9391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W. CHURCH STREET",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "88220",
            "telephone_number": "575-234-1703",
            "fax_number": "575-887-9391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON MONTESSORI ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-03",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A",
        "authorized_official_last_name": "BARTA",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "HEAD ADMINISTRATOR",
        "authorized_official_telephone_number": "575-234-1701",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.