Active NPI
Greeg Family Healthcare Services
- Family Nurse Practitioner
- Las Cruces, NM
National Provider Identifier
1275660219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34789758 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 32D1023577 | Greeg Family Healthcare Services LLC | Certificate of waiver | Mar 17, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Family Nurse Practitioner
- Las Cruces, NM
- NPI 1932104569
-
- Psychiatric/Mental Health Nurse Practitioner
- Las Cruces, NM
- NPI 1649950676
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.