Individual provider Active NPI

Kaylene Cribbs, FNP

  • Family Nurse Practitioner
  • Farmington, NM
National Provider Identifier
1245527837
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP-02732 Issued in NM
Practice address
3510 Messina Dr
Farmington, NM 87402-4782
Phone
(505) 591-0636
Fax
(505) 393-6626
NPI assigned
Jul 1, 2011
Last updated
Oct 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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 CNP-02732 NM Primary

Addresses

Primary practice location

3510 Messina Dr
Farmington, NM 87402-4782

Mailing address

3510 Messina Dr
Farmington, NM 87402-4782
Phone (505) 591-0636

Other practice location 1

6100 E Main St
Farmington, NM 87402-3034
Phone (505) 326-7878

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
I20151228002046 NM Practitioner - Nurse Practitioner 5092987537 Reassigns benefits to 2 organizations
Practice locations: Farmington, NM

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
High Desert Behavioral Health LLC CurrentSince Mar 2, 2024 Accepting new patients
Desert View, Inc. CurrentSince Mar 1, 2021 Accepting new patients

Locations

3510 Messina Dr
Farmington, NM 87402
Phone (505) 320-5553

6100 E Main St
Farmington, NM 87402
Phone (505) 326-7878

Organizations & group practices 2

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": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1245527837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 MESSINA DR",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874024782",
            "telephone_number": "505-591-0636",
            "fax_number": "505-393-6623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 MESSINA DR",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874024782",
            "telephone_number": "505-591-0636",
            "fax_number": "505-393-6626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6100 E Main St",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NM",
            "postal_code": "874023034",
            "country_code": "US",
            "telephone_number": "505-326-7878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRIBBS",
        "first_name": "KAYLENE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-01",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-02732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

Verify at the official NPI Registry.