Organization Active NPI

Simplicity Health of New Mexico

  • Diabetology (Family Medicine) Physician
  • Alamogordo, NM
National Provider Identifier
1558265587
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetology (Family Medicine) PhysicianTaxonomy code 207QD0401X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.