Active NPI
Sacred Minds Behavioral Health
- Psychiatric/Mental Health Nurse Practitioner
- Las Cruces, NM
National Provider Identifier
1235958877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- SACRED MINDS BEHAVIORAL HEALTH
- Practice address
- 1990 E Lohman Ave Ste 117
Las Cruces, NM 88001-3172 - Phone
- (575) 644-3637
- NPI assigned
- Oct 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa Zavala, PMHNP
- Title
- Nurse Practitioner
- Phone
- (575) 644-3637
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1990 E Lohman Ave Ste 117
Las Cruces, NM 88001-3172
Mailing address
2253 Calle de Parian Unit 1020
Mesilla, NM 88046-2048
Phone (575) 644-3637
National Provider Directory
National Provider DirectoryLocations
2253 Calle de Parian
Unit 1020
Mesilla, NM 88046
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Las Cruces, NM
- NPI 1326465857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728432000000",
"number": "1235958877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2253 CALLE DE PARIAN UNIT 1020",
"city": "MESILLA",
"state": "NM",
"postal_code": "880462048",
"telephone_number": "575-644-3637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1990 E LOHMAN AVE STE 117",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880013172",
"telephone_number": "575-644-3637"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SACRED MINDS BEHAVIORAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-09",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A",
"authorized_official_last_name": "ZAVALA",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "575-644-3637",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"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 Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.