Mora Independent School

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

122095 Issued in NM

Legal business name

MORA INDEPENDENT SCHOOL

Practice address

Highway 518 Ranger Rd
Mora, NM 87732

Phone

(505) 387-3109

NPI assigned

Mar 13, 2007

Last updated

Sep 11, 2025By 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

Ann Garcia

Title

Medicaid Coordinator

Phone

(505) 387-3109

Specialties & licenses 2

Addresses

Tax ID family

Mora Colfax Head Start2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mora Colfax Head Start

  • Case Management Agency
  • Holman, NM
  • NPI 1104132976
  NPD tax ID

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.

• Consuelo Cruz

  • Speech-Language Pathologist
  • Mora, NM
  • NPI 1376676338
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1952434540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 179",
            "city": "MORA",
            "state": "NM",
            "postal_code": "877320179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIGHWAY 518 RANGER RD",
            "city": "MORA",
            "state": "NM",
            "postal_code": "87732",
            "telephone_number": "505-387-3109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORA INDEPENDENT SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "MEDICAID COORDINATOR",
        "authorized_official_telephone_number": "505-387-3109"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, School",
            "state": "NM",
            "license": "247324",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "122095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kids Counseling, Inc
• Michael J. Lee, PA-C
• Jessica Monique Lucero, LCSW
• Jessica Rose Martinez, FNP-BC
• Tyler E Martinez, DDS
• Mora Valley Community Health Services
• Mora Valley Community Health Services Inc
• Mora Valley Community Health Services, Inc (Mora Valley Community Health Services, Inc Cardid de San Antonio Home)
• Mora Valley Community Health Services, Inc.
• Mora Valley Community Health Services, Inc.

• Speech-Language Pathologist in Mora, NM
• Providers in Mora, NM by specialty
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.