Individual provider Active NPI

Rhonda Willis Page, CNP

  • Family Nurse Practitioner
  • Las Cruces, NM
National Provider Identifier
1447643002
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP-02631 Issued in NM
Practice address
1605 El Paseo Rd
Las Cruces, NM 88001-6013
Phone
(575) 523-5400
Fax
(575) 524-5301
NPI assigned
Mar 6, 2015
Last updated
Aug 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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 CNP-02631 NM Primary

Addresses

Primary practice location

1605 El Paseo Rd
Las Cruces, NM 88001-6013

Mailing address

1605 El Paseo Rd
Las Cruces, NM 88001-6013
Phone (575) 523-5400

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
I20150724009903 NM Practitioner - Nurse Practitioner 6901119692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Srirengam Muralidhasan MD LLCGroup PAC ID 8123079274, 7 clinicians

Practice addresses (Care Compare)

1605 El Paseo Rd
Las Cruces Urgent Care
Las Cruces, NM 88001-6010
Phone (575) 523-5400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP-02631NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Srirengam Muralidhasan MD LLC CurrentSince May 24, 2023 Accepting new patients

Locations

1605 El Paseo Rd
Las Cruces, NM 88001
Phone (505) 527-2600

1605 El Paseo Rd
Ste A
Las Cruces, NM 88001
Phone (575) 541-1500

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.

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": "1425600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1447643002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 EL PASEO RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880016013",
            "telephone_number": "575-523-5400",
            "fax_number": "575-523-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 EL PASEO RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880016013",
            "telephone_number": "575-523-5400",
            "fax_number": "575-524-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS PAGE",
        "first_name": "RHONDA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-06",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-02631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.