Individual provider Active NPI

Thomas Hayth, DNP, FNP-BC

  • Family Nurse Practitioner
  • Las Cruces, NM
National Provider Identifier
1174091144
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
54039 Issued in NM
Practice address
2437 S Telshor Blvd
Las Cruces, NM 88011-5049
Phone
(575) 522-2777
Fax
(575) 522-4532
NPI assigned
Nov 8, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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 54039 NM Primary

Addresses

Primary practice location

2437 S Telshor Blvd
Las Cruces, NM 88011-5049

Mailing address

2437 S Telshor Blvd
Las Cruces, NM 88011-5049
Phone (575) 522-2777

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address thomas.hayth.1@1928.direct.athenahealth.com

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
I20190207001546 NM Practitioner - Nurse Practitioner 5890033385 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sleep Lab of Las Cruces LLCGroup PAC ID 1658695358, 3 clinicians

Practice addresses (Care Compare)

2437 S Telshor Blvd
Las Cruces, NM 88011-5049
Phone (575) 522-2777

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Las Cruces Physician Practices, LLC CurrentSince Sep 1, 2019 Accepting new patients
Las Cruces Physician Practices, LLC CurrentSince Sep 1, 2019 Accepting new patients
Sleep Lab of Las Cruces LLC CurrentSince Jul 1, 2021 Accepting new patients
Familycare Associates,PA Past Accepting new patients

Locations

4351 E Lohman Ave
Ste 403
Las Cruces, NM 88011
Phone (575) 522-6806

4672 N Sonoma Ranch Blvd
Ste A
Las Cruces, NM 88011
Phone (575) 556-1871

2437 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-2777

Interoperability endpoints

  • Direct secure messaging: thomas.hayth.1@19849.direct.athenahealth.com
  • Direct secure messaging: thomas.hayth.1@1928.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1174091144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2437 S TELSHOR BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115049",
            "telephone_number": "575-522-2777",
            "fax_number": "575-522-4532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2437 S TELSHOR BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115049",
            "telephone_number": "575-522-2777",
            "fax_number": "575-522-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYTH",
        "first_name": "THOMAS",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-08",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "54039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thomas.hayth.1@1928.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "3485 Northrise Dr Ste 1",
            "city": "Las Cruces",
            "state": "NM",
            "country_code": "US",
            "postal_code": "880116839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.