Individual provider Active NPI

Rhaemi E Gaufin, DNP

  • Family Nurse Practitioner
  • Las Cruces, NM
National Provider Identifier
1003676362
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53100 Issued in NM
Practice address
3961 E Lohman Ave Ste 33
Las Cruces, NM 88011-8440
Phone
(575) 556-0200
NPI assigned
Mar 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53100 NM Primary

Addresses

Primary practice location

3961 E Lohman Ave Ste 33
Las Cruces, NM 88011-8440

Mailing address

3922 Agua de Vida Dr
Las Cruces, NM 88012-7962
Phone (575) 308-6284

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240614003002 NM Practitioner - Nurse Practitioner 3678016912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Clinics, LLCGroup PAC ID 7911902077, 7 clinicians

Practice addresses (Care Compare)

3961 E Lohman Ave
Suite 33
Las Cruces, NM 88011-8269
Phone (575) 556-0200

Hospital & facility affiliations

  • Memorial Medical Center Hospital, Las Cruces, NM, CCN 320018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Clinics, LLC CurrentSince May 6, 2024 Accepting new patients

Locations

3961 E Lohman Ave
Las Cruces, NM 88011
Phone (505) 556-0200

3961 E Lohman Ave
Ste 33
Las Cruces, NM 88011
Phone (505) 556-0200

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1003676362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3922 AGUA DE VIDA DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880127962",
            "telephone_number": "575-308-6284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3961 E LOHMAN AVE STE 33",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118440",
            "telephone_number": "575-556-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUFIN",
        "first_name": "RHAEMI",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "53100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.