Tennille Alexa Marrujo-Moctezuma, RN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

81131 Issued in NM

Practice address

4733 Salado Creek St
Las Cruces, NM 88012-5072

Phone

(575) 644-9254

NPI assigned

Nov 13, 2023

Last updated

Nov 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tessa's Therapies Inc

  • Community/Behavioral Health Agency
  • San Miguel, NM
  • NPI 1013470780

  Single Specialty

  Medicare reassignment NPD
• Time Is Precious Certifications, LLC.

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Cruces, NM
  • NPI 1598573008
  NPD Authorized official

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1669246443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4733 SALADO CREEK ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880125072",
            "telephone_number": "575-644-9254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4733 SALADO CREEK ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880125072",
            "telephone_number": "575-644-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRUJO-MOCTEZUMA",
        "first_name": "TENNILLE",
        "middle_name": "ALEXA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-13",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "81131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyra Kynn Marquez
• Miranda Marquez
• Sonya Marquez
• Kandice Marrero, BCBA
• Ashley Marrufo
• Monica Marrujo, SLP
• Justin Marsh, LCSW
• Thomas Franklin Marsh, OTA
• Kylee Marshall
• Nancy Ann Marshall, STUDENT

• Psychiatric/Mental Health Nurse Practitioner in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.