NPIMap

Organization Active NPI

Mesilla Valley Healthcare Associates P.a.

  • Family Nurse Practitioner
  • Las Cruces, NM
National Provider Identifier
1497707442
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RII668 Issued in NM
Legal business name
MESILLA VALLEY HEALTHCARE ASSOCIATES P.A.
Practice address
2020 S. Solano Dr.
Suite C
Las Cruces, NM 88001-5416
Phone
(505) 523-4880
Fax
(505) 523-1796
NPI assigned
May 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Angelina P Carver, CNP
Title
CNP/Owner
Phone
(505) 523-4880

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X R19996 NM
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X RII668 NM Primary

Addresses

Primary practice location

2020 S. Solano Dr.
Suite C
Las Cruces, NM 88001-5416

Mailing address

2020 S. Solano Dr.
Suite C
Las Cruces, NM 88001-5416
Phone (505) 523-4880

Other identifiers 4

IdentifierTypeStateIssuer
10004431OtherALL LOVELACE
NM006312OtherNMBCBS
95966MedicaidNM
PROVP11869OtherMOLINA

National Provider Directory

National Provider Directory

Locations

2020 S Solano Dr
Ste C
Las Cruces, NM 88001
Phone (505) 523-4880

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497707442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 S. SOLANO DR.",
            "address_2": "SUITE C",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015416",
            "telephone_number": "505-523-4880",
            "fax_number": "505-523-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 S. SOLANO DR.",
            "address_2": "SUITE C",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015416",
            "telephone_number": "505-523-4880",
            "fax_number": "505-523-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESILLA VALLEY HEALTHCARE ASSOCIATES P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARVER",
        "authorized_official_first_name": "ANGELINA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CNP/OWNER",
        "authorized_official_telephone_number": "505-523-4880",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "R19996",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "RII668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL LOVELACE",
            "identifier": "10004431",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NM006312",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95966",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA",
            "identifier": "PROVP11869",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.