Individual provider Active NPI

Katherine Emerick, CNP

  • Family Nurse Practitioner
  • Las Cruces, NM
National Provider Identifier
1154618411
Registry record updated Jul 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP-01746 Issued in NM
Practice address
2801 Missouri Ave
Suite # 12
Las Cruces, NM 88011-5075
Phone
(575) 649-9433
Fax
(575) 522-8891
NPI assigned
Jul 6, 2011
Last updated
Jul 6, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP-01746 NM Primary

Addresses

Primary practice location

2801 Missouri Ave
Suite # 12
Las Cruces, NM 88011-5075

Mailing address

2801 Missouri Ave
Suite # 12
Las Cruces, NM 88011-5075
Phone (575) 649-9433

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
I20130205000157 NM Practitioner - Nurse Practitioner 6103070883

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP-01746NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Smart Care, Inc. CurrentSince Feb 1, 2013 Accepting new patients

Locations

2801 Missouri Ave
Ste 12
Las Cruces, NM 88011
Phone (505) 522-6900

2884 N Roadrunner Pkwy
#P
Las Cruces, NM 88011
Phone (575) 288-2391

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309910400000",
    "number": "1154618411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 MISSOURI AVE",
            "address_2": "SUITE # 12",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115075",
            "telephone_number": "575-649-9433",
            "fax_number": "575-522-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 MISSOURI AVE",
            "address_2": "SUITE # 12",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115075",
            "telephone_number": "575-649-9433",
            "fax_number": "575-522-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERICK",
        "first_name": "KATHERINE",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-06",
        "last_updated": "2011-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-01746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.