CONSTANCE M FETTERS


Address: 1100 S Main St, Suite 9, Las Cruces, NM 88005-2917
Phone: 5755414451

CONSTANCE M FETTERS (NPI# 1568638468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568638468
Entity Type Organization
Organization Name CONSTANCE M FETTERS
Other Organization Name DESERT DIABETES RESOURCES
Practice Address 1100 S Main St
Suite 9
Las Cruces
NM 88005-2917
Mailing Address 1080 La Quinta St
Las Cruces
NM 88007-4809
Practice Telephone 5755414451
Practice Fax Number 5755241454
Mailing Telephone 5755414451
Mailing Fax Number 5755241454
Enumeration Date 2008-05-01
Last Update Date 2008-06-24
Authorized Official Name MS. CONSTANCE M FETTERS (OWNER)
Authorized Official Telephone 5755414451
Authorized Official Credential RN CDE
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251300000X Local Education Agency (LEA) R10382 NM Agencies

Other Provider/Organization Names

Other Name Type Code
Desert Diabetes Resources Doing Business As Name - Organization

Office Location

Street Address 1100 S MAIN ST
SUITE 9
City LAS CRUCES
State NM
Zip Code 88005-2917

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679578611 Francisco Hilario Crespin Family Medicine 1100 S Main St, Ste A, Las Cruces, NM 88005-2952 2005-06-16
1336624311 Crystal Verduzco Behavior Technician 1100 S Main St, Las Cruces, NM 88005-2917 2018-09-26
1659641777 Diabetes Solutions Health Educator 1100 S Main St, Ste. 2, Las Cruces, NM 88005-2917 2012-01-05
1508159906 Carlene Hurst Registered Nurse 1100 S Main St, Ste 2, Las Cruces, NM 88005-2917 2011-05-18
1255657474 Nicole Judith Romero Counselor 1100 S Main St, Las Cruces, NM 88005-2917 2010-04-13
1528234895 Tricia Wheeler Dietitian, Registered 1100 S Main St, Suite 9, Las Cruces, NM 88005-2917 2008-05-06
1134390768 Constance Marie Fetters Registered Nurse 1100 S Main St, Suite 9, Las Cruces, NM 88005-2917 2008-03-24
1225216344 Lisa Maria Davis Case Manager/Care Coordinator 1100 S Main St, Bldg B Suite 20, Las Cruces, NM 88005-2917 2008-01-31
1255541793 Richard Enriquez Case Manager/Care Coordinator 1100 S Main St, Suite 20, Las Cruces, NM 88005-2917 2007-05-23
1720296304 Monique Elaine Apodaca-armendariz Case Manager/Care Coordinator 1100 S Main St, Suite 20, Las Cruces, NM 88005-2917 2007-05-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871158345 Raymond Pope Stewart Jr. Community Health Worker 9999 W. Amador Avenue, Ste. A, Las Cruces, NM 88005 2019-05-09
1538638481 Jennifer Mcafee Social Worker 3100 Oak St. Las Cruces, Nm, Las Cruces, NM 88005 2018-11-21
1023583226 Richard Flores Physical Therapist 1090 Med Park Dr., Las Cruces, NM 88005 2018-10-04
1558850834 Connections Therapy, Inc. Counselor 225 E Idaho Ave Ste 25, Las Cruces, NM 88005 2018-05-02
1982134771 Madalyn Elyse Sprague Behavior Technician 1007 Ellendale Dr, Las Cruces, NM 88005 2017-06-14
1043766249 Leandra Gabrielle Abeyta Registered Nurse 2363 W University Ave, Las Cruces, NM 88005 2016-08-28
1790172641 Amistad Milestones LLC Speech-Language Pathologist 3100 Oak Street, Las Cruces, NM 88005 2015-04-17
1043628753 Richael Anne Bouvet-jenkins Social Worker 755 W. Hadley Avenue, Las Cruces, NM 88005 2014-07-25
1194133801 Helena Catalina Melendez Dental Hygienist 385 Calle Alegra Blg C, Las Cruces, NM 88005 2014-07-25
1447668256 Cherie O'dell Specialist 1758 Highland Ave, Las Cruces, NM 88005 2014-07-24
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Taxonomy Information

Taxonomy Code 251300000X
Grouping Agencies
Classification Local Education Agency (LEA)

Taxonomy Definition

The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy.
Notes: Source: Portions of IDEA Regulations Part B (34 CFR Part 300.18, Assistance to States for the Education of Children with Disabilities) [1/1/2006: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1912510975 Sandoval Academy of Bilingual Education Local Education Agency (LEA) 4321 Fulcrum Way Ne Ste A, Rio Rancho, NM 87144-8410 2020-08-28
1174164974 Gordon Bernell Charter School Local Education Agency (LEA) 2821 4th St Nw, Albuquerque, NM 87107-1313 2019-10-02
1154831451 Anansi Charter School Local Education Agency (LEA) 57 State Highway 230, El Prado, NM 87529 2017-10-02
1396264347 Monte Del Sol Charter School Local Education Agency (LEA) 4157 Walking Rain Rd, Santa Fe, NM 87507-0825 2017-09-11
1316317639 New Mexico Foundation for Individuals With Disabilities Local Education Agency (LEA) 1270 Mirador Loop Ne, Rio Rancho, NM 87144-5326 2015-09-29
1104218072 Rio Gallinas School for Ecology and The Arts Local Education Agency (LEA) 1107 Montezuma St, Las Vegas, NM 87701-3519 2015-03-02
1740606102 Corrales International Charter School Local Education Agency (LEA) 3821 Singer Blvd Ne, Albuquerque, NM 87109-5804 2014-03-10
1659713931 Aldo Leopold Charter School Local Education Agency (LEA) 1422 Highway 180 E, Silver City, NM 88061-7837 2013-07-26
1669710034 Enmu Roswell Local Education Agency (LEA) 701 E Country Club Rd, Roswell, NM 88201-7607 2013-01-19
1285987289 Northwest Regional Education Cooperative #2 Local Education Agency (LEA) 182 North Pine, Bldg C, Chama, NM 87520 2012-10-16
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Competitor

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City LAS CRUCES
Zip Code 88005

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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