Organization Active NPI

La Reencuentro LLC

  • Nurse Practitioner
  • Las Cruces, NM
National Provider Identifier
1154869873
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
LA REENCUENTRO LLC
Practice address
1690 N Main St
Las Cruces, NM 88001-1155
Phone
(575) 888-0100
NPI assigned
Feb 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Authorized official

Name
Valerie A Burgelin, CNPNPI 1649290081
Title
Owner
Phone
(575) 888-0100

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

1690 N Main St
Las Cruces, NM 88001-1155

Mailing address

10641 Windsmont CT
Lehigh Acres, FL 33936-7268
Phone (239) 258-1477

National Provider Directory

National Provider Directory

Locations

1690 N Main St
Las Cruces, NM 88001
Phone (575) 649-0221

Practitioners & affiliated clinicians

Practitioners 1

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": "1485907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1154869873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10641 WINDSMONT CT",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339367268",
            "telephone_number": "239-258-1477",
            "fax_number": "844-442-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 N MAIN ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880011155",
            "telephone_number": "575-888-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA REENCUENTRO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-01",
        "last_updated": "2023-01-27",
        "certification_date": "2022-08-31",
        "status": "A",
        "authorized_official_last_name": "BURGELIN",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-888-0100",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 27, 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.