Active NPI
Catherine T. Kemmer, M.D.
- Gynecology Physician
- Las Cruces, NM
National Provider Identifier
1376545632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 90-61
- Practice address
- 2100 S Triviz Dr
Ste H
Las Cruces, NM 88001-0601 - Phone
- (505) 522-9793
- Fax
- (505) 532-9019
- NPI assigned
- Jun 1, 2005
- 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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 90-61 | NM | Primary |
Addresses
Primary practice location
2100 S Triviz Dr
Ste H
Las Cruces, NM 88001-0601
Mailing address
2100 S Triviz Dr
Ste H
Las Cruces, NM 88001-0601
Phone (505) 522-9793
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NM010415 | Other | NM | BCBS |
| 18784 | Other | NM | PRES |
| 6303493 | Other | NM | LOVELACE |
| 28332 | Medicaid | NM |
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
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302134400000",
"number": "1376545632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 S TRIVIZ DR",
"address_2": "STE H",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880010601",
"telephone_number": "505-522-9793",
"fax_number": "505-532-9019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 S TRIVIZ DR",
"address_2": "STE H",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880010601",
"telephone_number": "505-522-9793",
"fax_number": "505-532-9019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEMMER",
"first_name": "CATHERINE",
"middle_name": "T.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-01",
"last_updated": "2011-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NM",
"license": "90-61",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "NM010415",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRES",
"identifier": "18784",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOVELACE",
"identifier": "6303493",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "28332",
"state": "NM"
}
],
"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 Apr 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.