Individual provider Active NPI

Patricia L Landreth, FNP

  • Family Medicine Physician
  • Carlsbad, NM
National Provider Identifier
1083293104
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F03211422 Issued in NM
Practice address
2402 W Pierce St Ste 2a
Carlsbad, NM 88220-3568
Phone
(575) 887-0637
Fax
(575) 887-0638
NPI assigned
Apr 6, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 63661 NM
Family Medicine Physician 207Q00000X F03211422 NM Primary

Addresses

Primary practice location

2402 W Pierce St Ste 2a
Carlsbad, NM 88220-3568

Mailing address

2402 W Pierce St Ste 2a
Carlsbad, NM 88220-3568
Phone (575) 887-0637

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Patricia.Landreth.1@1739.direct.Athenahealth.com

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
I20210811000662 NM Practitioner - Nurse Practitioner 2264667799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pecos Valley of New Mexico LLCGroup PAC ID 2466359781, 33 clinicians

Practice addresses (Care Compare)

2420 W Pierce St
Carlsbad, NM 88220-3517

2420 W Pierce St
Carlsbad, NM 88220-3518

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Carlsbad, NM, CCN 327172
  • TLC Home Health Care, LLC Home health agency, Carlsbad, NM, CCN 327209
  • Lakeview Christian Home Health Home health agency, Carlsbad, NM, CCN 327161
  • J & J Home Care, Inc. Home health agency, Artesia, NM, CCN 327136
  • Carlsbad Medical Center Hospital, Carlsbad, NM, CCN 320063
  • Artesia General Hospital Hospital, Artesia, NM, CCN 320030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63661NMMDFamily Medicine Physician
F03211422NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pecos Valley of New Mexico, LLC CurrentSince Aug 9, 2021 Accepting new patients

Locations

2402 W Pierce St
Ste 2A
Carlsbad, NM 88220
Phone (505) 628-0926

2420 W Pierce St
Ste 100
Carlsbad, NM 88220
Phone (505) 628-8837

2420 W Pierce St
Ste 200
Carlsbad, NM 88220
Phone (505) 885-0600

3823 National Parks Hwy
Carlsbad, NM 88220
Phone (575) 628-5066

Interoperability endpoints

  • Direct secure messaging: patricia.landreth.2@1739.direct.athenahealth.com
  • Direct secure messaging: patricia.landreth.1@1739.direct.athenahealth.com

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 7

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": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1083293104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 W PIERCE ST STE 2A",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882203568",
            "telephone_number": "575-887-0637",
            "fax_number": "575-887-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 W PIERCE ST STE 2A",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882203568",
            "telephone_number": "575-887-0637",
            "fax_number": "575-887-0638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRETH",
        "first_name": "PATRICIA",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "63661",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "F03211422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Patricia.Landreth.1@1739.direct.Athenahealth.com",
            "affiliation": "N",
            "address_1": "2402 W Pierce St Ste 2A",
            "city": "Carlsbad",
            "state": "NM",
            "country_code": "US",
            "postal_code": "882203568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carlsbad, NM

Sources for this page

Verify at the official NPI Registry.