Organization Active NPI

L. D. Mormile Adult Psychiatric Health Care, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Alamogordo, NM
National Provider Identifier
1316587942
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
L. D. MORMILE ADULT PSYCHIATRIC HEALTH CARE, LLC
Practice address
1909 Cuba Ave Ste 5
Alamogordo, NM 88310-5646
Phone
(575) 551-1183
NPI assigned
Jan 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Authorized official

Name
Leslie Diane Mormile, DNP, APRN, PMHNP-BC
Title
Owner/Nurse Practitioner
Phone
(575) 551-1183

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WP0809X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1909 Cuba Ave Ste 5
Alamogordo, NM 88310-5646

Mailing address

PO Box 4056
Alamogordo, NM 88311-4056

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1578700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609200000000",
    "number": "1316587942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4056",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883114056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 CUBA AVE STE 5",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883105646",
            "telephone_number": "575-551-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L. D. MORMILE ADULT PSYCHIATRIC HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-11",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A",
        "authorized_official_last_name": "MORMILE",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "575-551-1183",
        "authorized_official_credential": "DNP, APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "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 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.