NPIMap

Organization Active NPI

New Mexico State University

  • Health Educator
  • Las Cruces, NM
National Provider Identifier
1104455286
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
NEW MEXICO STATE UNIVERSITY
Doing business as
Cooperative Extension Service
Practice address
940 College Drive
Las Cruces, NM 88003
Phone
(575) 646-2034
NPI assigned
Apr 2, 2020
Organization subpart
Yes
Parent organization
NEW MEXICO STATE UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Authorized official

Name
Lucinda Banegas-Carreon, M.P.H., CHESNPI 1942847462
Title
Extension Associate II
Phone
(575) 646-2034

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193400000X SINGLE SPECIALTY GROUP 174H00000X Primary

Addresses

Primary practice location

940 College Drive
Las Cruces, NM 88003

Mailing address

P.O. Box 30003
MSC 3Ae
Las Cruces, NM 88003
Phone (575) 646-2034

Other names 1

  • Cooperative Extension Service Doing business as

National Provider Directory

National Provider Directory
Part of
New Mexico State University Student Health Center

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585785600000",
    "number": "1104455286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 30003",
            "address_2": "MSC 3AE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88003",
            "telephone_number": "575-646-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 COLLEGE DRIVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88003",
            "telephone_number": "575-646-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO STATE UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW MEXICO STATE UNIVERSITY",
        "enumeration_date": "2020-04-02",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A",
        "authorized_official_last_name": "BANEGAS-CARREON",
        "authorized_official_first_name": "LUCINDA",
        "authorized_official_title_or_position": "EXTENSION ASSOCIATE II",
        "authorized_official_telephone_number": "575-646-2034",
        "authorized_official_credential": "M.P.H., CHES"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cooperative Extension Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.