Active NPI
Wellness and Aesthetics LLC
- Family Nurse Practitioner
- Las Cruces, NM
National Provider Identifier
1508482316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- WELLNESS AND AESTHETICS LLC
- Practice address
- 705 N Alameda Blvd
Las Cruces, NM 88005-2128 - Phone
- (575) 288-1336
- Fax
- (323) 334-1449
- NPI assigned
- Jun 18, 2020
- Last updated
- Dec 20, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Danielle Castillo
- Title
- Credentialing Specialist
- Phone
- (575) 288-1336
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NU | Primary |
Addresses
Primary practice location
705 N Alameda Blvd
Las Cruces, NM 88005-2128
Mailing address
705 N Alameda Blvd
Las Cruces, NM 88005-2128
Phone (575) 288-1336
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | charmhealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
705 N Alameda Blvd
Las Cruces, NM 88005
Phone (575) 288-1336
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Nurse Practitioner
- Las Cruces, NM
- NPI 1568786820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734652800000",
"number": "1508482316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 N ALAMEDA BLVD",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880052128",
"telephone_number": "575-288-1336",
"fax_number": "323-334-1449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 N ALAMEDA BLVD",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880052128",
"telephone_number": "575-288-1336",
"fax_number": "323-334-1449"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS AND AESTHETICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-18",
"last_updated": "2024-12-20",
"certification_date": "2024-12-20",
"status": "A",
"authorized_official_last_name": "CASTILLO",
"authorized_official_first_name": "DANIELLE",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "575-288-1336"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "charmhealth.com",
"affiliation": "N",
"endpointDescription": "EHR",
"address_1": "330 N Campo St",
"city": "Las Cruces",
"state": "NM",
"country_code": "US",
"postal_code": "880013433",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Las Cruces, NM
- Cristin Weldon, RN,BSN,CCM,CHW
- Well Tended Christian Therapy, LLC
- Wellcare Options, LLC (Wellcare Options)
- Wellcare, Inc. (Enhabit Home Health)
- Wellmed Medical Group, P.a. (WellMed at Telshor)
- Wellness Evolution LLC (Edward Risser, LPCC, NCC)
- Wellness Simplified LLC (Las Cruces Dieticians LLC)
- Amber Wells
- Radosveta N. Wells, MD
- Shawna R Wells, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.