Organization Active NPI

Fusion Health & Wellness of New Mexico

  • Family Nurse Practitioner
  • Carlsbad, NM
National Provider Identifier
1578281572
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
FUSION HEALTH & WELLNESS OF NEW MEXICO
Practice address
2402 W Pierce St Ste 6G
Carlsbad, NM 88220-3566
Phone
(575) 628-0331
Fax
(575) 628-0332
NPI assigned
Aug 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Authorized official

Name
Rebecca Ann Nolen, CNP
Title
Owner
Phone
(575) 628-0331

Specialties & licenses 1

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

Addresses

Primary practice location

2402 W Pierce St Ste 6G
Carlsbad, NM 88220-3566

Mailing address

2402 W Pierce St Ste 6G
Carlsbad, NM 88220-3566
Phone (575) 628-0331

Other identifiers 1

IdentifierTypeStateIssuer
58853065MedicaidNM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1578281572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 W PIERCE ST STE 6G",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882203566",
            "telephone_number": "575-628-0331",
            "fax_number": "575-628-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 W PIERCE ST STE 6G",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882203566",
            "telephone_number": "575-628-0331",
            "fax_number": "575-628-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUSION HEALTH & WELLNESS OF NEW MEXICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "NOLEN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-628-0331",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58853065",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.