Shelby Danae Whitlock-Virden, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

77549 Issued in NM

Practice address

5020 Meadow Cir
Las Cruces, NM 88007-5616

Phone

(575) 649-7113

NPI assigned

Apr 24, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Shelby Whitlock Former name

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cura HealthcareGroup PAC ID 5799143103, 81 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mesilla Valley Hospice, Inc. Hospice, Las Cruces, NM, CCN 321501
• Memorial Medical Center Hospital, Las Cruces, NM, CCN 320018

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cura Healthcare

  • Family Medicine Physician
  • Albuquerque, NM
  • NPI 1649984667
  Medicare reassignment Care Compare group NPD
• Mesilla Valley Hospice, Inc

  • Community Based Hospice Care Agency
  • Las Cruces, NM
  • NPI 1285659003
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mesilla Valley Hospice, Inc

  • Community Based Hospice Care Agency
  • Las Cruces, NM
  • NPI 1285659003
  Care Compare affiliation
• PHC-Las Cruces Inc

  • General Acute Care Hospital
  • Las Cruces, NM
  • NPI 1700821808
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1003662768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 MEADOW CIR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880075616",
            "telephone_number": "575-649-7113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 MEADOW CIR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880075616",
            "telephone_number": "575-649-7113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLOCK-VIRDEN",
        "first_name": "SHELBY",
        "middle_name": "DANAE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NM",
            "license": "77549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "WHITLOCK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Traci Michelle White, PHARM.D.
• Margaret Whitehead
• Mark L Whitehead, PSYCHOLOGIST
• Caitlyn Whitfield
• Kathleen Whitfield
• Patricia Anne Whitman, NP
• Savannah Whitman
• Meagan Whitney, LMSW
• Deborah DS Whitson, DO
• Whittler Anesthesia PC

• Gerontology Nurse Practitioner in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Gerontology Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.