Jicarilla Apache Nation
NPI 1881020089 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Dulce, NM
Jicarilla Apache Nation is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center organization in Dulce, NM (NPI 1881020089).
Provider details
- NPI number
- 1881020089
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ty Vicenti, President(575) 759-4201
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Jicarilla Apache Nation Dialysis Treatment Center
Registry dates
- Enumerated
- 2013-09-19
- Last updated
- 2015-05-20
Frequently asked questions
- What is Jicarilla Apache Nation's NPI number?
- Jicarilla Apache Nation's National Provider Identifier (NPI) is 1881020089, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jicarilla Apache Nation?
- Jicarilla Apache Nation is classified in the NPPES registry as End-Stage Renal Disease (ESRD) Treatment Clinic/Center (Ambulatory Health Care Facilities).
- Where is Jicarilla Apache Nation located?
- Jicarilla Apache Nation's practice location on file with NPPES is 450 N Mundo Dr., Dulce, NM 87528.
- What is Jicarilla Apache Nation's phone number?
- The practice phone number listed in the NPPES registry for Jicarilla Apache Nation is (575) 759-4206.
- Who is the authorized official for Jicarilla Apache Nation?
- The authorized official listed on Jicarilla Apache Nation's NPPES record is Ty Vicenti, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jicarilla Apache Nation's NPI active?
- Yes — Jicarilla Apache Nation's NPI (1881020089) is active in the NPPES registry as of the last update on 2015-05-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.