Fusion Health & Wellness

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

CNP01235 Issued in NM

Legal business name

FUSION HEALTH & WELLNESS

Practice address

2402 W Pierce St Ste 6G
Ste 6G
Carlsbad, NM 88220-3566

Phone

(575) 628-0331

Fax

(575) 628-0332

NPI assigned

Sep 26, 2014

Last updated

Sep 9, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jane K Cornwell, CNPNPI 1659362655

Title

Owner

Phone

(575) 302-6683

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

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.

• Jane K Cornwell, CNP

  • Primary Care Nurse Practitioner
  • Carlsbad, NM
  • NPI 1659362655

  Adult Health

  Medicare reassignment Care Compare group NPD Authorized official
• Rebecca Ann Jones, CNP

  • Family Nurse Practitioner
  • Carlsbad, NM
  • NPI 1033882980
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599609600000",
    "number": "1336542992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 W PIERCE ST STE 6G",
            "address_2": "STE 6G",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882203566",
            "telephone_number": "575-628-0331",
            "fax_number": "575-628-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 W PIERCE ST STE 6G",
            "address_2": "STE 6G",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882203566",
            "telephone_number": "575-628-0331",
            "fax_number": "575-628-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUSION HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-26",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "CORNWELL",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-302-6683",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NM",
            "license": "CNP01235",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43580874",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cherry Tiffany Frintz, FNP-C
• Linda M Frith, LMSW
• Geraldine T. Frye
• Jordan Yvette Fuentes
• Gardner Fugate, R.PH.
• Fusion Health & Wellness of New Mexico
• Fusion Health & Wellness of NM
• Marta C. Gallegos, M.D.
• Trey Galloway, CRNA
• Anthony Garcia

• Adult Health Nurse Practitioner in Carlsbad, NM
• Providers in Carlsbad, NM by specialty
• Adult Health Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.