Wendy Dimmette, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

96227 Issued in NM

Practice address

1214 National Ave
Las Vegas, NM 87701-4033

Phone

(505) 425-7340

Fax

(505) 425-7680

NPI assigned

Aug 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Neurology

Education

University of Texas Medical School at San Antonio, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

State of New MexicoGroup PAC ID 2062412869, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Alta Vista Regional Hospital Hospital, Las Vegas, NM, CCN 321312
• The NM Behavioral Health Institute at Las Vegas Nursing home, Las Vegas, NM, CCN 325104

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• State of New Mexico

  dba NM Behavioral Health Institute at Las Vegas

  • Nursing Facility/Intermediate Care Facility
  • Las Vegas, NM
  • NPI 1992867998
  Medicare reassignment Care Compare group
• State of New Mexico

  dba New Mexico Behavioral Health Institue at Las Vegas

  • Clinical Medical Laboratory
  • Las Vegas, NM
  • NPI 1407057607
  NPD

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

• San Miguel Hospital Corporation

  dba Alta Vista Regional Hospital

  • Critical Access Hospital
  • Las Vegas, NM
  • NPI 1114639234
  Care Compare affiliation
• State of New Mexico

  dba NM Behavioral Health Institute at Las Vegas

  • Nursing Facility/Intermediate Care Facility
  • Las Vegas, NM
  • NPI 1992867998

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477560589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 NATIONAL AVE",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014033",
            "telephone_number": "505-425-7340",
            "fax_number": "505-425-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 NATIONAL AVE",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014033",
            "telephone_number": "505-425-7340",
            "fax_number": "505-425-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMMETTE",
        "first_name": "WENDY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NM",
            "license": "96227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "L5334",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Damien Derego, LMHC
• Lot Di Benedetto, DPT
• Diamond Care Vida Encantada, LLC (Vidan Encantada Nursing and Rehab Center)
• Dianachavez, LLC
• Rosanne M Dimas
• Direct Healthcare
• Gabrielle Andrea Dizon, OTR/L
• Noah Dobbe, LMHC
• Docmac Comfort Care LLC (Frank McDonald)
• Corinne F. Dominguez, LBSW

• Specialist in Las Vegas, NM
• Providers in Las Vegas, NM by specialty
• Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.