Individual provider Active NPI

Tommie Salinas, CNP

  • Family Nurse Practitioner
  • Santa Rosa, NM
National Provider Identifier
1003798877
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
84887 Issued in NM
Practice address
117 Camino de Vida Ste 300
Santa Rosa, NM 88435-2267
Phone
(575) 472-4311
NPI assigned
Jul 23, 2025
Last updated
Jul 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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 84887 NM Primary

Addresses

Primary practice location

117 Camino de Vida Ste 300
Santa Rosa, NM 88435-2267

Mailing address

592 River Rd
Santa Rosa, NM 88435-2262
Phone (575) 781-7013

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
I20250910004393 NM Practitioner - Nurse Practitioner 0446753081 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guadalupe CountyGroup PAC ID 9335118918, 17 clinicians
Sunrise ClinicsGroup PAC ID 6800226374, 33 clinicians

Practice addresses (Care Compare)

117 Camino de Vida
Suite 100
Santa Rosa, NM 88435-2267
Phone 5754723417110

2515 Ridge Runner Rd
Las Vegas, NM 87701-4972
Phone (505) 434-0119

901 Baca St
Las Vegas, NM 87701-4972
Phone (505) 454-3218

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
84887NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Guadalupe County CurrentSince Oct 22, 2025 Accepting new patients
Sunrise Clinics CurrentSince Aug 1, 2025 Accepting new patients
Guadalupe County CurrentSince Oct 22, 2025 Accepting new patients
Sunrise Clinics Past Accepting new patients

Locations

901 Baca St
Las Vegas, NM 87701
Phone (505) 454-3218

117 Camino de Vida
Ste 100
Santa Rosa, NM 88435
Phone (575) 472-3417

117 Camino de Vida
Ste 300
Santa Rosa, NM 88435
Phone (575) 472-4311

717 S 3rd St
Santa Rosa, NM 88435
Phone (505) 426-2262

220 S 3rd St
Tucumcari, NM 88401
Phone (505) 461-6351

Networks

  • TX HMO D-SNP
  • CO HMO
  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
  • CO HMO D-SNP
  • TX HMO
  • NM HMO C-SNP

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCBACD/Endpoint/CCBACD

Organizations & group practices 4

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

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": "1753228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1003798877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "592 RIVER RD",
            "city": "SANTA ROSA",
            "state": "NM",
            "postal_code": "884352262",
            "telephone_number": "575-781-7013",
            "fax_number": "575-781-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 CAMINO DE VIDA STE 300",
            "city": "SANTA ROSA",
            "state": "NM",
            "postal_code": "884352267",
            "telephone_number": "575-472-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALINAS",
        "first_name": "TOMMIE",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-07-23",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "84887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, NM

Sources for this page

Verify at the official NPI Registry.