Krista Villa, MAT, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT859 Issued in NM

Practice address

3650 Morning Star Dr Unit 3701
Las Cruces, NM 88011-1783

Phone

(575) 703-6156

NPI assigned

Jan 25, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1134586944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 MORNING STAR DR UNIT 3701",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880111783",
            "telephone_number": "575-703-6156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 MORNING STAR DR UNIT 3701",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880111783",
            "telephone_number": "575-703-6156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLA",
        "first_name": "KRISTA",
        "credential": "MAT, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-25",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NM",
            "license": "AT859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabel C Vigil, M.D.
• Jaklynne Vigil, LMSW
• Teresa G Vigil, MA., CCC-SLP
• Alexis Nichole Villa, LICENSED SUBSTANCE A
• Cristina Villa
• Rachel Villa, FNP
• Diana Cervantes Villagrana
• Josefina Villagrana
• Rosa Maria Villagrana, PHYSICAL THERAPIST
• Julie Ann Villalba

• Athletic Trainer in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Athletic Trainer in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.