Organization Active NPI

Greeg Family Healthcare Services

  • Family Nurse Practitioner
  • Las Cruces, NM
National Provider Identifier
1275660219
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
GREEG FAMILY HEALTHCARE SERVICES
Practice address
1557 Monte Vista Ave
Las Cruces, NM 88001-5731
Phone
(575) 532-5700
Fax
(575) 532-5733
NPI assigned
Feb 27, 2007
Last updated
Jan 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Melissa Roman
Title
Office Manager/CMC
Phone
(575) 532-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

1557 Monte Vista Ave
Las Cruces, NM 88001-5731

Mailing address

1557 Monte Vista Ave
Las Cruces, NM 88001-5731
Phone (575) 532-5700

Other identifiers 1

IdentifierTypeStateIssuer
34789758MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040526001394 NM Part B Supplier - Clinic/Group Practice 6901887801 Receives reassigned benefits from 1 practitioner
Practice locations: Las Cruces, NM

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D1023577Greeg Family Healthcare Services LLC1557 Monte Vista Ave, Las Cruces, NM 88001Certificate of waiverMar 17, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1275660219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1557 MONTE VISTA AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015731",
            "telephone_number": "575-532-5700",
            "fax_number": "575-532-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1557 MONTE VISTA AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015731",
            "telephone_number": "575-532-5700",
            "fax_number": "575-532-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEG FAMILY HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OFFICE MANAGER/CMC",
        "authorized_official_telephone_number": "575-532-5700"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34789758",
            "state": "NM"
        }
    ],
    "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 Jan 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.