Active NPI
Mari Rose Longpre
- Occupational Therapist
- Las Cruces, NM
National Provider Identifier
1326769894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT4712
- Practice address
- 151 N Roadrunner Pkwy
Las Cruces, NM 88011-7019 - Phone
- (800) 967-4667
- NPI assigned
- Sep 2, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT4712 | NM | Primary |
Addresses
Primary practice location
151 N Roadrunner Pkwy
Las Cruces, NM 88011-7019
Mailing address
2713 Winston Ave
Las Cruces, NM 88005-1322
Phone (970) 222-5861
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT4712 | NM | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662076800000",
"number": "1326769894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2713 WINSTON AVE",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880051322",
"telephone_number": "970-222-5861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 N ROADRUNNER PKWY",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880117019",
"telephone_number": "800-967-4667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONGPRE",
"first_name": "MARI",
"middle_name": "ROSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-02",
"last_updated": "2022-09-02",
"certification_date": "2022-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NM",
"license": "OT4712",
"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 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.