Individual provider Active NPI

Monica Elaine Dawson, M.ED, MLT, CT

  • Assisted Living Facility
  • Rio Rancho, NM
National Provider Identifier
1891956512
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
2040 Issued in NM
Practice address
1504 37TH St SE
Rio Rancho, NM 87124-1812
Phone
(505) 994-0350
Fax
(505) 994-0350
NPI assigned
Jun 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 2040 NM Primary

Addresses

Primary practice location

1504 37TH St SE
Rio Rancho, NM 87124-1812

Mailing address

1504 37TH St SE
Rio Rancho, NM 87124-1812
Phone (505) 994-0350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
2040NMMDAssisted Living Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Genney'S Senior Care Assisted Living Facility Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1891956512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 37TH ST SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241812",
            "telephone_number": "505-994-0350",
            "fax_number": "505-994-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 37TH ST SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241812",
            "telephone_number": "505-994-0350",
            "fax_number": "505-994-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "MONICA",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "M.ED, MLT, CT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NM",
            "license": "2040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.