Active NPI
Kaylene Cribbs, FNP
- Family Nurse Practitioner
- Farmington, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP-02732
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Desert Behavioral Health LLC | Current | Accepting new patients | |
| Desert View, Inc. | Current | 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.
-
dba Mindful Medication Management
- Family Medicine Physician
- Farmington, NM
- NPI 1508548850
-
- Community/Behavioral Health Agency
- Farmington, NM
- NPI 1700945367
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.