Individual provider Active NPI

Claire Ashburn Shervanick, MD

  • Family Medicine Physician
  • Las Cruces, NM
National Provider Identifier
1497702237
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD2007-0519 Issued in NM
Practice address
2701 Missouri Ave Ste a
Las Cruces, NM 88011
Phone
(575) 404-7301
Fax
(575) 207-0100
NPI assigned
May 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD2007-0519 NM Primary
Family Medicine Physician 207Q00000X MD417594 PA

Addresses

Primary practice location

2701 Missouri Ave Ste a
Las Cruces, NM 88011

Mailing address

2701 Missouri Ave Ste a
Las Cruces, NM 88011-5091
Phone (575) 404-7301

Other practice location 1

1135 S. Main Street
Suite B
Las Cruces, NM 88011
Phone (575) 525-4007

Other identifiers 1

IdentifierTypeStateIssuer
68321864MedicaidNM

Other names 1

  • Claire Ashburn Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Previously, effective Aug 15, 2018 through Aug 15, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD417594PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Familycare Associates,PA Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: claire.shervanick@76315379367940.direct.elationemr.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1497702237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 MISSOURI AVE STE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115091",
            "telephone_number": "575-404-7301",
            "fax_number": "575-207-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 MISSOURI AVE STE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88011",
            "telephone_number": "575-404-7301",
            "fax_number": "575-207-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1135 S. Main Street",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "88011",
            "country_code": "US",
            "telephone_number": "575-525-4007",
            "fax_number": "575-525-4040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERVANICK",
        "first_name": "CLAIRE",
        "middle_name": "ASHBURN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2007-0519",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD417594",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "68321864",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAIRE",
            "last_name": "ASHBURN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.