Active NPI
Clifford Thomas Kinnear Jr.
- Health Educator
- Alamogordo, NM
National Provider Identifier
1265079420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 1003 McKinley Ave
Alamogordo, NM 88310-4246 - Phone
- (575) 921-1873
- NPI assigned
- Dec 6, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
1003 McKinley Ave
Alamogordo, NM 88310-4246
Mailing address
PO Box 30003
Las Cruces, NM 88003-8003
Phone (575) 646-5426
Other practice location 1
940 College Dr
Las Cruces, NM 88003-8003
Phone (575) 646-5426
Other practice location 2
1205 Lovers Ln
Alamogordo, NM 88310-5658
Phone (575) 921-1873
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Mexico State University | Health Educator | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Educator
- Las Cruces, NM
- NPI 1104455286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575590400000",
"number": "1265079420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30003",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880038003",
"telephone_number": "575-646-5426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 MCKINLEY AVE",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883104246",
"telephone_number": "575-921-1873"
}
],
"practiceLocations": [
{
"address_1": "940 College Dr",
"address_purpose": "LOCATION",
"city": "Las Cruces",
"state": "NM",
"postal_code": "880038003",
"country_code": "US",
"telephone_number": "575-646-5426",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1205 Lovers Ln",
"address_purpose": "LOCATION",
"city": "Alamogordo",
"state": "NM",
"postal_code": "883105658",
"country_code": "US",
"telephone_number": "575-921-1873",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KINNEAR",
"first_name": "CLIFFORD",
"middle_name": "THOMAS",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-06",
"last_updated": "2019-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alamogordo, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.