Active NPI
Ndeye Ndour
- Certified Registered Nurse Anesthetist
- Clovis, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 57121
- Practice address
- 2100 N M.L.K. Jr Blvd
Clovis, NM 88101 - Phone
- (575) 769-2141
- NPI assigned
- Aug 9, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 57121 | NM | Primary |
Addresses
Primary practice location
2100 N M.L.K. Jr Blvd
Clovis, NM 88101
Mailing address
2220 Ralph Boone
Clovis, NM 88101-9027
Phone (703) 347-3078
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127222 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, FL, CO
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
104 Legion Dr
Las Vegas, NM 87701-4804
Phone (505) 426-3500
6002 Berryhill Rd
Milton, FL 32570-5062
Phone (850) 626-7762
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57121 | NM | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ams of Gulf Breeze LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ams Baptist LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Clinical Colleagues Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Netherlands Anesthesia, LLC | Current | Accepting new patients | |
| Ams National LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Clinical Colleagues Inc | Current | Accepting new patients | |
| Cibola General Hospital Corporation | Current | Accepting new patients |
Locations
1000 Lincoln St
Fort Morgan, CO 80701
Phone (970) 542-3320
524 W Sagamore Ave
Clewiston, FL 33440
Phone (800) 494-3984
6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688
1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848
10521 SW Village Center Dr
Ste 104
Port St Lucie, FL 34987
Phone (772) 345-8600
6733 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-8242
601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040
1016 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-4446
104 Legion Dr
Las Vegas, NM 87701
Phone (505) 426-3500
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Las Vegas, NM
- NPI 1922603562
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1316330830
Nurse Anesthetist, Certified Registered
-
dba Cibola General Hospital
- Critical Access Hospital
- Grants, NM
- NPI 1780677039
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1093020216
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1376812032
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Van Wert, OH
- NPI 1992725766
CO, Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Silver City, NM
- NPI 1336220839
-
dba Santa Rosa Medical Center
- General Acute Care Hospital
- Milton, FL
- NPI 1528015302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565308800000",
"number": "1659927283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2220 RALPH BOONE",
"city": "CLOVIS",
"state": "NM",
"postal_code": "881019027",
"telephone_number": "703-347-3078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 N M.L.K. JR BLVD",
"city": "CLOVIS",
"state": "NM",
"postal_code": "88101",
"telephone_number": "575-769-2141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NDOUR",
"first_name": "NDEYE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-09",
"last_updated": "2019-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NM",
"license": "57121",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "127222",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clovis, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.