Individual provider Active NPI

Laprincess D Tso

  • Nurse Practitioner
  • Farmington, NM
National Provider Identifier
1669921003
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CNP-03007 Issued in NM
Practice address
735 W Animas St Ste 101
Farmington, NM 87401-5616
Phone
(505) 609-2880
Fax
(505) 609-2882
NPI assigned
Sep 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CNP-03007 NM Primary

Addresses

Primary practice location

735 W Animas St Ste 101
Farmington, NM 87401-5616

Mailing address

PO Box 6210
Farmington, NM 87499-6210
Phone (505) 609-6595

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170103000935 NM Practitioner - Nurse Practitioner 9537440680 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Rehab Consultants PLLCGroup PAC ID 6800220682, 251 clinicians

Practice addresses (Care Compare)

800 Saguaro TRL
Farmington, NM 87401-9632
Phone (312) 945-7444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP-03007NMMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
San Juan Regional Medical Center Inc CurrentSince Oct 6, 2016 Accepting new patients
San Juan Regional Medical Center Inc Current Accepting new patients
San Juan Regional Medical Center Inc CurrentSince Oct 6, 2016 Accepting new patients
Comprehensive Rehab Consultants PLLC Nurse Practitioner CurrentSince Feb 1, 2025 Accepting new patients
Cenikor Foundation Past Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

910 W Walnut St
Albany, IN 47320
Phone (765) 780-7066

803 Hacienda Ln
Bloomfield, NM 87413
Phone (505) 360-0799

407 S Schwartz Ave
Ste 101
Farmington, NM 87401
Phone (505) 609-6595

735 W Animas St
Ste 101
Farmington, NM 87401
Phone (505) 609-2880

800 Saguaro Trl
Farmington, NM 87401
Phone (505) 598-6000

4820 E Main St
Ste 2
Farmington, NM 87402
Phone (505) 609-6610

2500 Farmington Ave
Farmington, NM 87401
Phone (505) 326-7246

1005 Lujan Hill Rd
Las Cruces, NM 88007
Phone (575) 523-4573

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1669921003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6210",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874996210",
            "telephone_number": "505-609-6595",
            "fax_number": "505-609-6579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 W ANIMAS ST STE 101",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015616",
            "telephone_number": "505-609-2880",
            "fax_number": "505-609-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSO",
        "first_name": "LAPRINCESS",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-27",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "CNP-03007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

Verify at the official NPI Registry.