Organization Active NPI

Taos Municipal Schools School Based Health Centers

  • School Nurse Practitioner
  • Taos, NM
National Provider Identifier
1740331370
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Nurse PractitionerTaxonomy code 363LS0200X
License
CL00010194 Issued in NM
Legal business name
TAOS MUNICIPAL SCHOOLS SCHOOL BASED HEALTH CENTERS
Practice address
134 Cervantes St
Taos, NM 87571-6163
Phone
(505) 751-8032
Fax
(505) 751-8008
NPI assigned
Jan 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Maria T Chavez, Medina, RN
Title
Health Services, SBHC Coordinator
Phone
(505) 751-8032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Nurse Practitioner 363LS0200X CL00010194 NM Primary

Addresses

Primary practice location

134 Cervantes St
Taos, NM 87571-6163

Mailing address

213 Paseo del Canon E
Taos, NM 87571-6239
Phone (505) 751-8032

Other identifiers 1

IdentifierTypeStateIssuer
Q1853MedicaidNM

National Provider Directory

National Provider Directory
Tax ID family
Taos Muncipal Schools3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740331370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 PASEO DEL CANON E",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716239",
            "telephone_number": "505-751-8032",
            "fax_number": "505-751-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 CERVANTES ST",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716163",
            "telephone_number": "505-751-8032",
            "fax_number": "505-751-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAOS MUNICIPAL SCHOOLS SCHOOL BASED HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ, MEDINA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "HEALTH SERVICES, SBHC COORDINATOR",
        "authorized_official_telephone_number": "505-751-8032",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "363LS0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, School",
            "state": "NM",
            "license": "CL00010194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q1853",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taos, 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.

Verify at the official NPI Registry.