Active NPI
Santa Fe Public Schools
- Speech-Language Pathologist
- Santa Fe, NM
National Provider Identifier
1740318336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 708
- Legal business name
- SANTA FE PUBLIC SCHOOLS
- Practice address
- 610 Alta Vista St
Santa Fe, NM 87505-4149 - Phone
- (505) 467-2502
- NPI assigned
- Mar 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Susanne Claire Lockford, M.A.
- Title
- Speech Language Pathologist
- Phone
- (505) 471-1974
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 708 | NM | Primary |
Addresses
Primary practice location
610 Alta Vista St
Santa Fe, NM 87505-4149
Mailing address
2336 Camino del Prado
Santa Fe, NM 87507-4882
Phone (505) 471-1974
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J2761 | Medicaid | NM |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Santa Fe, NM
- NPI 1013496314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1740318336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2336 CAMINO DEL PRADO",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875074882",
"telephone_number": "505-471-1974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 ALTA VISTA ST",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875054149",
"telephone_number": "505-467-2502"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANTA FE PUBLIC SCHOOLS",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LOCKFORD",
"authorized_official_first_name": "SUSANNE",
"authorized_official_middle_name": "CLAIRE",
"authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "505-471-1974",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "M.A."
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "NM",
"license": "708",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "J2761",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.