Individual provider Active NPI

Candace Phillips Laramore, FNP-C

  • Family Nurse Practitioner
  • Silver City, NM
National Provider Identifier
1396463089
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
69441 Issued in NM
Practice address
2600 N Silver St
Silver City, NM 88061-7201
Phone
(575) 388-1889
Fax
(575) 388-9952
NPI assigned
Aug 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 69441 NM Primary

Addresses

Primary practice location

2600 N Silver St
Silver City, NM 88061-7201

Mailing address

1618 E Pine St
Silver City, NM 88061-7155
Phone (575) 388-1561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221102003459 NM Practitioner - Nurse Practitioner 4789051822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Victor a. Nwachuku, M.D., PCGroup PAC ID 5496833774, 11 clinicians

Practice addresses (Care Compare)

1618 E Pine St
Silver City, NM 88061-7155
Phone 575388156112

Hospital & facility affiliations

  • Gila Regional Medical Center Hospital, Silver City, NM, CCN 321311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
69441NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Victor a. Nwachuku, M.D., PC Family CurrentSince Dec 1, 2022 Accepting new patients

Locations

2600 N Silver St
Silver City, NM 88061
Phone (575) 388-3175

1618 E Pine St
Silver City, NM 88061
Phone (505) 388-1561

1280 E 32nd St
Silver City, NM 88061
Phone (505) 388-1242

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1396463089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 E PINE ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880617155",
            "telephone_number": "575-388-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N SILVER ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880617201",
            "telephone_number": "575-388-1889",
            "fax_number": "575-388-9952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARAMORE",
        "first_name": "CANDACE",
        "middle_name": "PHILLIPS",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-18",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "69441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver City, NM

Sources for this page

Verify at the official NPI Registry.