NPIMap

Organization Active NPI

Espanola Public Schools

  • Speech-Language Pathologist
  • Espanola, NM
National Provider Identifier
1841365699
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
34659714 Issued in NM
Legal business name
ESPANOLA PUBLIC SCHOOLS
Practice address
714 Calle Don Diego
Espanola, NM 87532-3414
Phone
(505) 367-3342
NPI assigned
Nov 21, 2006
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
Dr. David Cockerham
Title
Superintendent
Phone
(505) 753-2254

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 34659714 NM Primary

Addresses

Primary practice location

714 Calle Don Diego
Espanola, NM 87532-3414

Mailing address

714 Calle Don Diego
Espanola, NM 87532-3414
Phone (505) 367-3342

National Provider Directory

National Provider Directory
Tax ID family
Espanola Public Schools4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841365699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 CALLE DON DIEGO",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875323414",
            "telephone_number": "505-367-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 CALLE DON DIEGO",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875323414",
            "telephone_number": "505-367-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESPANOLA PUBLIC SCHOOLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COCKERHAM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "505-753-2254",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "34659714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Espanola, 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.