Active NPI
Marguerite Lynn Cordahi-Cruz, CFNP
- Family Nurse Practitioner
- Santa Fe, NM
National Provider Identifier
1265656656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R21861
- Practice address
- 2801 Rodeo Rd
Suite B13
Santa Fe, NM 87507-6503 - Phone
- (505) 474-0120
- NPI assigned
- Apr 13, 2007
- Last updated
- Jul 8, 2007
- 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 | R21861 | NM | Primary |
Addresses
Primary practice location
2801 Rodeo Rd
Suite B13
Santa Fe, NM 87507-6503
Mailing address
1808 Otowi Rd
Santa Fe, NM 87505-3301
Phone (505) 984-8772
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R21861 | Other | NM | LISCENCE |
Other names 1
- Lynn Cordahi
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R21861 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Francis Health Center | Past | Accepting new patients | |
| St Francis Health Center | Past | Accepting new patients |
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.
-
- Lay Midwife
- Santa Fe, NM
- NPI 1285731414
-
- Family Medicine Physician
- Santa Fe, NM
- NPI 1467625194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265656656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1808 OTOWI RD",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875053301",
"telephone_number": "505-984-8772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 RODEO RD",
"address_2": "SUITE B13",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875076503",
"telephone_number": "505-474-0120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDAHI-CRUZ",
"first_name": "MARGUERITE",
"middle_name": "LYNN",
"credential": "CFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "R21861",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LISCENCE",
"identifier": "R21861",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LYNN",
"last_name": "CORDAHI",
"credential": "CFNP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.