Jesse Gerald Schaffer, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R58756 Issued in NM

Practice address

315 S Hudson St
Silver City, NM 88061-6184

Phone

(575) 388-4497

Fax

(575) 534-1150

NPI assigned

Oct 15, 2009

Sex

Male

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Border Area Mental Health Services, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Silver City, NM
  • NPI 1609886787
  NPD (past)

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279584000000",
    "number": "1760717367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1349",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880621349",
            "telephone_number": "575-388-4412",
            "fax_number": "575-534-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S HUDSON ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880616184",
            "telephone_number": "575-388-4497",
            "fax_number": "575-534-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFFER",
        "first_name": "JESSE",
        "middle_name": "GERALD",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-15",
        "last_updated": "2010-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "R58756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therese M Sankovitz, AUD
• Joseph Michael Santarsieri, D.C.
• Mary Lou Sauceda, LBSW
• Isaac David Saucedo, PA C
• Janet Saunders, MN DOH DOULA
• Julianne Scheskie, P.A.-C.
• Priscilla Ann Schlabach, LISW
• Allison Marie Schmid, RDN
• Heather Marie Schmidt, MD
• Dennis L. Schrader, MA

• All providers in Silver City, NM
• Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; 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.