Individual provider Active NPI

Tara Lynn Greenwood, CNP

  • Family Nurse Practitioner
  • Alamogordo, NM
National Provider Identifier
1215530217
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
61454 Issued in NM
Practice address
1501 10TH St
Alamogordo, NM 88310-5044
Phone
(575) 434-2960
Fax
(575) 434-8724
NPI assigned
Nov 20, 2020
Last updated
Aug 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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 61454 NM Primary

Addresses

Primary practice location

1501 10TH St
Alamogordo, NM 88310-5044

Mailing address

1501 10TH St
Alamogordo, NM 88310-5044
Phone (575) 434-2960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210216001767 NM Practitioner - Nurse Practitioner 2769897206 Reassigns benefits to 3 organizations
I20210914003778 TX Practitioner - Nurse Practitioner 2769897206 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61454NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
National Sinus Institute PLLC Family CurrentSince Jan 26, 2023 Accepting new patients
Presbyterian Medical Services CurrentSince Aug 8, 2022 Accepting new patients
Molina Care Connections, LLC. CurrentSince Nov 12, 2020 Accepting new patients
Presbyterian Medical Services CurrentSince Aug 8, 2022 Accepting new patients
Presbyterian Medical Services Current Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

1501 10th St
Alamogordo, NM 88310
Phone (505) 443-8133

2474 Indian Wells Rd
Alamogordo, NM 88310
Phone (505) 443-0339

2474 Indian Wells Rd
Ste A
Alamogordo, NM 88310
Phone (505) 747-0506

400 Tijeras Ave NW
Ste 200
Albuquerque, NM 87102

721 E Holly St
Ste A
Deming, NM 88030
Phone (575) 201-4204

2909 Hillrise Dr
Las Cruces, NM 88011
Phone (505) 522-5888

1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565

301 W College Ave
Ste 16
Silver City, NM 88061
Phone (575) 449-8949

1660 Westridge Cir N
Irving, TX 75038
Phone (214) 467-9787

5605 N MacArthur Blvd
Ste 400
Irving, TX 75038
Phone (855) 322-4080

1620 N Main St
Spanish Fork, UT 84660

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDAHAA

Organizations & group practices 5

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": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1215530217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 10TH ST",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883105044",
            "telephone_number": "575-434-2960",
            "fax_number": "575-434-8724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 10TH ST",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883105044",
            "telephone_number": "575-434-2960",
            "fax_number": "575-434-8724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWOOD",
        "first_name": "TARA",
        "middle_name": "LYNN",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-20",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "61454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamogordo, NM

Sources for this page

Verify at the official NPI Registry.