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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251300000X | Local Education Agency (LEA) | R10382 | NM | Agencies |
Other Name | Type Code |
---|---|
Desert Diabetes Resources | Doing Business As Name - Organization |
Street Address |
1100 S MAIN ST SUITE 9 |
City | LAS CRUCES |
State | NM |
Zip Code | 88005-2917 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 88005 |
Taxonomy Code | 251300000X |
Grouping | Agencies |
Classification | Local Education Agency (LEA) |
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] |
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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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City | LAS CRUCES |
Zip Code | 88005 |
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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.