Active NPI
Simplicity Health of New Mexico
- Diabetology (Family Medicine) Physician
- Alamogordo, NM
National Provider Identifier
1558265587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetology (Family Medicine) Physician
- Legal business name
- SIMPLICITY HEALTH OF NEW MEXICO
- Practice address
- 1200 N White Sands Blvd Ste 110a
Alamogordo, NM 88310-6774 - Phone
- (575) 488-0030
- Fax
- (575) 488-0032
- NPI assigned
- Oct 5, 2026
- Last updated
- Oct 5, 2026
- 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
- Mr. Jeremy Fultz
- Title
- President
- Phone
- (575) 488-0030
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetology (Family Medicine) Physician | 207QD0401X | NU | Primary |
Addresses
Primary practice location
1200 N White Sands Blvd Ste 110a
Alamogordo, NM 88310-6774
Mailing address
1200 N White Sands Blvd Ste 110a
Alamogordo, NM 88310-6774
Phone (575) 488-0030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791158400000",
"number": "1558265587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 N WHITE SANDS BLVD STE 110A",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883106774",
"telephone_number": "575-488-0030",
"fax_number": "575-488-0032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N WHITE SANDS BLVD STE 110A",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883106774",
"telephone_number": "575-488-0030",
"fax_number": "575-488-0032"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIMPLICITY HEALTH OF NEW MEXICO",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-05",
"last_updated": "2026-10-05",
"certification_date": "2026-10-05",
"status": "A",
"authorized_official_last_name": "FULTZ",
"authorized_official_first_name": "JEREMY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "575-488-0030",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207QD0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Diabetology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alamogordo, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.