Active NPI
Heather L Vezina, PT
- Specialist
- Las Cruces, NM
National Provider Identifier
1154493799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2937
- Practice address
- 301 Perkins Dr Ste B
Las Cruces, NM 88005-3248 - Phone
- (505) 523-7243
- Fax
- (505) 523-7254
- NPI assigned
- Nov 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 2937 | NM | Primary |
Addresses
Primary practice location
301 Perkins Dr Ste B
Las Cruces, NM 88005-3248
Mailing address
1941 Mahogany Dr
Las Cruces, NM 88001-2451
Phone (505) 523-7243
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39789331 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2937 | NM | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1154493799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1941 MAHOGANY DR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880012451",
"telephone_number": "505-523-7243",
"fax_number": "505-523-7254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 PERKINS DR STE B",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880053248",
"telephone_number": "505-523-7243",
"fax_number": "505-523-7254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEZINA",
"first_name": "HEATHER",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NM",
"license": "2937",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39789331",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.