Active NPI
Dolores Cordova, CFNP
- Family Nurse Practitioner
- Las Cruces, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP02003
- Practice address
- 2170 E Lohman Ave Ste a
Las Cruces, NM 88001-8411 - Phone
- (056) 818-2955
- NPI assigned
- Jul 13, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R37615 | NM | |
| Family Nurse Practitioner | 363LF0000X | CNP02003 | NM | Primary |
Addresses
Primary practice location
2170 E Lohman Ave Ste a
Las Cruces, NM 88001-8411
Mailing address
2170 E Lohman Ave Ste a
Las Cruces, NM 88001-8411
Phone (056) 818-2955
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2990 N Main St
Suite 2B
Las Cruces, NM 88001-1195
Phone (575) 644-0480
Hospital & facility affiliations
- Ambercare Home Health
- Memorial Medical Center
- Three Crosses Regional Hospital LLC
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R37615 | NM | MD | Registered Nurse |
| CNP02003 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omni Medical Group LLC | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Clinica Para Todos | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| American Current Care, P.a. | Past | Accepting new patients |
Locations
4201 Central Ave NW
Ste K3
Albuquerque, NM 87105
Phone (505) 369-1239
8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
2990 N Main St
Ste 2B
Las Cruces, NM 88001
Phone (505) 526-0888
2170 E Lohman Ave
Ste A
Las Cruces, NM 88001
Phone (575) 524-8888
Interoperability endpoints
- dolores.cordova@3655.securemail.prognocis.com
Organizations & group practices 5
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.
-
- Clinic/Center
- Albuquerque, NM
- NPI 1295350437
-
- Clinic/Center
- Albuquerque, NM
- NPI 1568768042
-
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- Health Service Clinic/Center
- Addison, TX
- NPI 1730360124
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Las Cruces, NM
- NPI 1609039833
-
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1700821808
-
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1760020044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599782400000",
"number": "1295080471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2170 E LOHMAN AVE STE A",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880018411",
"telephone_number": "056-818-2955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2170 E LOHMAN AVE STE A",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880018411",
"telephone_number": "056-818-2955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDOVA",
"first_name": "DOLORES",
"credential": "CFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-13",
"last_updated": "2020-09-11",
"certification_date": "2020-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NM",
"license": "R37615",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "CNP02003",
"primary": true
}
],
"identifiers": [],
"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 Sep 11, 2020; 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.
- 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.