Individual provider Active NPI

Kristen Gorbitz, CNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Las Cruces, NM
National Provider Identifier
1356392989
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
R34862 Issued in NM
Practice address
2550 Samaritan Drive Suite 241
Las Cruces, NM 88001
Phone
(575) 386-5778
Fax
(575) 680-2812
NPI assigned
May 16, 2006
Last updated
Jul 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X R34862 NM Primary

Addresses

Primary practice location

2550 Samaritan Drive Suite 241
Las Cruces, NM 88001

Mailing address

4351 E Lohman Ave Ste 408
Las Cruces, NM 88011-8263
Phone (575) 532-7161

Other practice location 1

4351 E Lohman Ave Ste 408
Las Cruces, NM 88011
Phone (575) 532-7161

Other identifiers 1

IdentifierTypeStateIssuer
000Q2506MedicaidNM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kristen.gorbitz.3@1928.direct.athenahealth.com

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)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R34862NMMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Familycare Associates,PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: k.gorbitz@rgmgl-nm.direct.office.nextgen.com
  • Direct secure messaging: kristen.gorbitz.3@1928.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1356392989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4351 E LOHMAN AVE STE 408",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118263",
            "telephone_number": "575-532-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 SAMARITAN DRIVE SUITE 241",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88001",
            "telephone_number": "575-386-5778",
            "fax_number": "575-680-2812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4351 E Lohman Ave Ste 408",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "88011",
            "country_code": "US",
            "telephone_number": "575-532-7161",
            "fax_number": "575-522-3743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORBITZ",
        "first_name": "KRISTEN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NM",
            "license": "R34862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000Q2506",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristen.gorbitz.3@1928.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "4351 E Lohman Ave Ste 408",
            "city": "Las Cruces",
            "state": "NM",
            "country_code": "US",
            "postal_code": "88011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 12, 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.

Verify at the official NPI Registry.