Fort Sumner Schools

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

R28287 Issued in NM

Legal business name

FORT SUMNER SCHOOLS

Practice address

262 South 9TH Street
Elementary School Building
Fort Sumner, NM 88119-9316

Phone

(575) 355-7716

Fax

(575) 355-6002

NPI assigned

Nov 21, 2017

Last updated

Nov 21, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marie Alice Dickerman, REGISTERED NURSENPI 1235643321

Title

School Nurse

Phone

(575) 355-7766

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marie Alice Dickerman, REGISTERED NURSE

  • School Registered Nurse
  • Fort Sumner, NM
  • NPI 1235643321
  NPD (past) Authorized official

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511222400000",
    "number": "1891209235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 EAST SUMNER AVENUE",
            "city": "FORT SUMNER",
            "state": "NM",
            "postal_code": "88119",
            "telephone_number": "575-355-7766",
            "fax_number": "575-355-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 SOUTH 9TH STREET",
            "address_2": "ELEMENTARY SCHOOL BUILDING",
            "city": "FORT SUMNER",
            "state": "NM",
            "postal_code": "881199316",
            "telephone_number": "575-355-7716",
            "fax_number": "575-355-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT SUMNER SCHOOLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-21",
        "last_updated": "2017-11-21",
        "status": "A",
        "authorized_official_last_name": "DICKERMAN",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "ALICE",
        "authorized_official_title_or_position": "SCHOOL NURSE",
        "authorized_official_telephone_number": "575-355-7766",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NM",
            "license": "R28287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Astrid Maribel De Matta
• Kelyn Y De Matta
• Desert Hope Wellness LLC
• Marie Alice Dickerman, REGISTERED NURSE
• Daryl Ensz, BSN RN NC-BC
• Debra Gallegos
• Jessie Gallegos
• Mary Elizabeth Hetsko, DDS
• Dorene Jaramillo, BMS
• Darlene G Jenkins, CFNP

• Nursing Care Agency in Fort Sumner, NM
• Providers in Fort Sumner, NM by specialty
• Nursing Care Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; 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.