Individual provider Active NPI

Beverly J. Clayshulte, M.S., L.N.

  • Nutritionist
  • Las Cruces, NM
National Provider Identifier
1205899663
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
437 Issued in NM
Practice address
1990 E Lohman Ave
Ste. 119
Las Cruces, NM 88001-3116
Phone
(505) 521-9931
NPI assigned
Apr 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 437 NM Primary

Addresses

Primary practice location

1990 E Lohman Ave
Ste. 119
Las Cruces, NM 88001-3116

Mailing address

205 W Boutz Rd
BLDG #1
Las Cruces, NM 88005-3262
Phone (505) 532-7000

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
437NMMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1205899663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W BOUTZ RD",
            "address_2": "BLDG #1",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053262",
            "telephone_number": "505-532-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 E LOHMAN AVE",
            "address_2": "STE. 119",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880013116",
            "telephone_number": "505-521-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYSHULTE",
        "first_name": "BEVERLY",
        "middle_name": "J.",
        "credential": "M.S., L.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NM",
            "license": "437",
            "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 Jul 13, 2026; 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.