Graceful Aging LLC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

Legal business name

GRACEFUL AGING LLC

Practice address

2707 Spitz St
Las Cruces, NM 88005-1338

Phone

(575) 203-1477

Fax

(575) 888-2444

NPI assigned

Dec 27, 2018

Last updated

Mar 9, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Amy Elise Lopez, DNPNPI 1619323284

Title

Owner

Phone

(575) 621-3390

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy Elise Lopez, DNP

  • Gerontology Nurse Practitioner
  • Las Cruces, NM
  • NPI 1619323284

  Adult Health

  Medicare reassignment NPD Authorized official
• Selene Marie La Marca, AGACNP

  • Nurse Practitioner
  • Las Cruces, NM
  • NPI 1396176319
  Medicare reassignment NPD
• Anna Marie Tucker, PT

  • Physical Therapist
  • Las Cruces, NM
  • NPI 1497168447
  Medicare reassignment NPD
• James A Lopez

  • Physician Assistant
  • Hatch, NM
  • NPI 1043544133
  Medicare reassignment

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

{
    "created_epoch": "1545868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1053883306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13426",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880133426",
            "telephone_number": "575-203-1477",
            "fax_number": "575-888-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 SPITZ ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880051338",
            "telephone_number": "575-203-1477",
            "fax_number": "575-888-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL AGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-27",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "ELISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-621-3390",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12431265",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Faythe Gowing, P.A.
• Grabasch Associates LLC
• Sandi Grabasch
• Grace Given, LLC
• Grace Requires Understanding Inc.
• Graceful Connections, LLC
• Savannah Leonor Grado-Garcia
• Yessenia P Grado, PMSW
• Carole Anne Grady, LPCC
• Victoria Graff, DPT

• 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 Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.