Jicarilla Apache Nation

Jicarilla Apache Nation is a healthcare organization registered as End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Dulce, NM, holding Type 2 (organization) NPI 1881020089 since 2013. The authorized official on file is Ty Vicenti, President.

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NPI	1881020089
Entity type	Organization (Type 2)
Legal business name	Jicarilla Apache Nation
Other name	<Unavail>
Practice address	450 N MUNDO DR., Dulce, NM, 87528
Phone	5757594206
Fax	5757594471
Enumeration date	2013-09-19
Last updated in NPPES	2015-05-20

Authorized official

Name	Ty Vicenti
Title	President
Phone	5757594201

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
261QE0700X	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	Primary	—	—

Copy-ready billing details

Provider: Jicarilla Apache Nation
NPI: 1881020089
Taxonomy: 261QE0700X (End-Stage Renal Disease (ESRD) Treatment Clinic/Center)
Address: 450 N MUNDO DR., Dulce, NM, 87528

Verify this record

Cross-check NPI 1881020089 against the authoritative CMS record: view Jicarilla Apache Nation on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-05-20. Verify at npiregistry.cms.hhs.gov.

Where is Jicarilla Apache Nation located?

The practice location on file with NPPES is in Dulce, NM.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-05-20.