Athena Mental Health

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ATHENA MENTAL HEALTH

Practice address

4091 Sotol Dr
Las Cruces, NM 88011-7640

Phone

(575) 323-1603

NPI assigned

May 22, 2023

Organization subpart

No

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

Authorized official

Name

Shelby Washington

Title

Consultant

Phone

(678) 383-0907

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Evangelia S Falkner, CNM, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Cruces, NM
  • NPI 1770847360
  Medicare reassignment NPD

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1457043184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 N ROADRUNNER PKWY STE 141",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880112000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4091 SOTOL DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880117640",
            "telephone_number": "575-323-1603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 N Roadrunner Pkwy Ste 141",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880112000",
            "country_code": "US",
            "telephone_number": "575-323-1603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ATHENA MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "SHELBY",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "678-383-0907"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "97839566",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78833019",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Yazid Atieh, PHC
• Kerry Atkinson, CNP
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• Mohamed Jamal a. Abdelmonim Attia, M.D.
• Elaine E Attiogbe, MSN, FNP-BC, NP-C

• Psychiatric/Mental Health Nurse Practitioner in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.