Constance M Fetters

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

License

R10382 Issued in NM

Legal business name

CONSTANCE M FETTERS

Practice address

1100 S Main St
Suite 9
Las Cruces, NM 88005-2917

Phone

(575) 541-4451

Fax

(575) 524-1454

NPI assigned

May 1, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Constance M Fetters, RN CDENPI 1134390768

Title

Owner

Phone

(575) 541-4451

Specialties & licenses 1

Addresses

Other names 1

• Desert Diabetes Resources Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Constance Marie Fetters, RN

  • Registered Nurse
  • Las Cruces, NM
  • NPI 1134390768
  NPD (past) Authorized official
• Tricia Wheeler, R.D., L.D.

  • Registered Dietitian
  • Las Cruces, NM
  • NPI 1528234895
  NPD (past)

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1568638468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 LA QUINTA ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880074809",
            "telephone_number": "575-541-4451",
            "fax_number": "575-524-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S MAIN ST",
            "address_2": "SUITE 9",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052917",
            "telephone_number": "575-541-4451",
            "fax_number": "575-524-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSTANCE M FETTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "FETTERS",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-541-4451",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN CDE"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NM",
            "license": "R10382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Diabetes Resources",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Connections Therapy Group
• Connections Therapy, Inc.
• John N Conniff, DDS, MSD
• Kori L Connole, LMFT
• Chanel L Conser, CBPA
• Eddie Contes
• Arelis Contreras, LCSW
• Crystal Yvonne Contreras, LMSW
• Joshua Contreras
• Marissa Contreras

• Local Education Agency (LEA) in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Local Education Agency (LEA) in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.