Active NPI
Bernalillo Public Schools (BPS)
- Community/Behavioral Health Agency
- Bernalillo, NM
National Provider Identifier
1770038820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- M-07714
- Legal business name
- BERNALILLO PUBLIC SCHOOLS (BPS)
- Practice address
- 560 S Camino del Pueblo
Bernalillo, NM 87004-5803 - Phone
- (505) 404-5716
- NPI assigned
- Aug 18, 2016
- Last updated
- Aug 18, 2016
- 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
- Krystal Candelaria
- Title
- Medicaid Billing Coordinator
- Phone
- (505) 404-5716
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | M-07714 | NM | Primary |
Addresses
Primary practice location
560 S Camino del Pueblo
Bernalillo, NM 87004-5803
Mailing address
560 S Camino del Pueblo
Bernalillo, NM 87004-5803
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H8226 | Medicaid | NM |
National Provider Directory
National Provider DirectoryLocations
560 S Camino del Pueblo
Bernalillo, NM 87004
Phone (505) 404-5312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471478400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1471478400000",
"number": "1770038820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 S CAMINO DEL PUEBLO",
"city": "BERNALILLO",
"state": "NM",
"postal_code": "870045803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 S CAMINO DEL PUEBLO",
"city": "BERNALILLO",
"state": "NM",
"postal_code": "870045803",
"telephone_number": "505-404-5716"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BERNALILLO PUBLIC SCHOOLS (BPS)",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-18",
"last_updated": "2016-08-18",
"status": "A",
"authorized_official_last_name": "CANDELARIA",
"authorized_official_first_name": "KRYSTAL",
"authorized_official_title_or_position": "MEDICAID BILLING COORDINATOR",
"authorized_official_telephone_number": "505-404-5716"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NM",
"license": "M-07714",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "H8226",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bernalillo, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.