Active NPI
Jessica Soucy, FNP
- Family Nurse Practitioner
- Las Cruces, NM
National Provider Identifier
1376092981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP-02977
- Practice address
- 3080 Breland Dr
Las Cruces, NM 88003 - Phone
- (575) 646-1512
- Fax
- (575) 646-6428
- NPI assigned
- Sep 23, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP-02977 | NM | Primary |
Addresses
Primary practice location
3080 Breland Dr
Las Cruces, NM 88003
Mailing address
P.O. Box 30001
MSC 3529
Las Cruces, NM 88003-8001
Phone (575) 646-1512
Other practice location 1
1455 S Valley Dr Ste A
Las Cruces, NM 88005-3165
Phone (575) 526-7777
Other practice location 2
3485 Northrise Dr Ste 1
Las Cruces, NM 88011-6839
Phone (575) 382-2161
Other practice location 3
2020 S Solano Dr
Suite B
Las Cruces, NM 88001-5416
Phone (575) 526-6280
Other practice location 4
P.O. Box 30001
MSC 3529
Las Cruces, NM 88003-8001
Phone (575) 646-1512
Other names 1
- Jessica Osborne
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jessica.soucy.1@1928.direct.athenahealth.com | ||
| Direct Messaging Address | jessica.soucy.2@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
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Familycare Associates,PA | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Las Cruces, NM
- NPI 1821161407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731369600000",
"number": "1376092981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 30001",
"address_2": "MSC 3529",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880038001",
"telephone_number": "575-646-1512",
"fax_number": "575-646-6428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3080 BRELAND DR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "88003",
"telephone_number": "575-646-1512",
"fax_number": "575-646-6428"
}
],
"practiceLocations": [
{
"address_1": "1455 S Valley Dr Ste A",
"address_purpose": "LOCATION",
"city": "Las Cruces",
"state": "NM",
"postal_code": "880053165",
"country_code": "US",
"telephone_number": "575-526-7777",
"fax_number": "575-526-7748",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3485 Northrise Dr Ste 1",
"address_purpose": "LOCATION",
"city": "Las Cruces",
"state": "NM",
"postal_code": "880116839",
"country_code": "US",
"telephone_number": "575-382-2161",
"fax_number": "575-382-2172",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2020 S Solano Dr",
"address_2": "Suite B",
"address_purpose": "LOCATION",
"city": "Las Cruces",
"state": "NM",
"postal_code": "880015416",
"country_code": "US",
"telephone_number": "575-526-6280",
"fax_number": "575-526-6303",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "P.O. Box 30001",
"address_2": "MSC 3529",
"address_purpose": "LOCATION",
"city": "Las Cruces",
"state": "NM",
"postal_code": "880038001",
"country_code": "US",
"telephone_number": "575-646-1512",
"fax_number": "575-646-6428",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOUCY",
"first_name": "JESSICA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-23",
"last_updated": "2024-11-12",
"certification_date": "2024-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "CNP-02977",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jessica.soucy.1@1928.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR Direct Address",
"address_1": "2020 S Solano Dr",
"address_2": "Suite B",
"city": "Las Cruces",
"state": "NM",
"country_code": "US",
"postal_code": "880015416",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jessica.soucy.2@1928.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR Direct Address",
"address_1": "1455 S Valley Dr Ste A",
"city": "Las Cruces",
"state": "NM",
"country_code": "US",
"postal_code": "880053165",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "OSBORNE",
"code": "1",
"type": "Former Name"
}
]
}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 Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.