Organization Active NPI

Rio Rancho Mid-High

  • School Social Worker
  • Rio Rancho, NM
National Provider Identifier
1962681056
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
I-3395 Issued in NM
Legal business name
RIO RANCHO MID-HIGH
Practice address
1600 40TH St NE
Rio Rancho, NM 87144-7708
Phone
(505) 891-5335
NPI assigned
Oct 25, 2007
Last updated
Oct 25, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Authorized official

Name
Mrs. Lisa Dobson
Title
Principal
Phone
(505) 823-1569

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X I-3395 NM Primary

Addresses

Primary practice location

1600 40TH St NE
Rio Rancho, NM 87144-7708

Mailing address

1600 40TH St NE
Rio Rancho, NM 87144-7708

Other identifiers 1

IdentifierTypeStateIssuer
51523345MedicaidNM

National Provider Directory

National Provider Directory
Tax ID family
Rio Rancho Public Schools3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1962681056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 40TH ST NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871447708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 40TH ST NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871447708",
            "telephone_number": "505-891-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIO RANCHO MID-HIGH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "DOBSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "505-823-1569",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NM",
            "license": "I-3395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51523345",
            "state": "NM"
        }
    ],
    "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 Oct 25, 2007; 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.