Organization Active NPI

Espanola Valley High School

  • Nursing Care Agency
  • Espanola, NM
National Provider Identifier
1972620631
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
RN # R39189 Issued in NM
Legal business name
ESPANOLA VALLEY HIGH SCHOOL
Practice address
714 Calle Don Diego
Espanola, NM 87532-3414
Phone
(505) 367-3420
NPI assigned
Mar 26, 2007
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
David Cockerham
Title
Superintendent
Phone
(505) 753-2254

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X RN # R39189 NM Primary

Addresses

Primary practice location

714 Calle Don Diego
Espanola, NM 87532-3414

Mailing address

RR 4 Box 200-4
Hernandez, NM 87537-9719
Phone (505) 753-7844

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": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972620631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 4 BOX 200-4",
            "city": "HERNANDEZ",
            "state": "NM",
            "postal_code": "875379719",
            "telephone_number": "505-753-7844"
        },
        {
            "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": "505-367-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESPANOLA VALLEY HIGH SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "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"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NM",
            "license": "RN # R39189",
            "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.