Justine Nicole Nunez, APRN-CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

56336 Issued in NM

Practice address

921 E Llano Estacado Blvd
Clovis, NM 88101-3807

Phone

(575) 763-4335

Fax

(575) 763-4296

NPI assigned

Jun 6, 2019

Last updated

Nov 24, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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 TX

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

Practice roles

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.

• Clovis Family Health Care Center LLC

  • Family Medicine Physician
  • Clovis, NM
  • NPI 1760123475
  NPD (past)

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1679132468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 E LLANO ESTACADO BLVD",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881013807",
            "telephone_number": "575-763-4335",
            "fax_number": "575-763-4296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 E LLANO ESTACADO BLVD",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881013807",
            "telephone_number": "575-763-4335",
            "fax_number": "575-763-4296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ",
        "first_name": "JUSTINE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-06",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "56336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NM BNPT Investment LLC (Physical Therapy Center)
• Danielle N Noack
• Ryan Winder Nordgren, CRNA
• Brandi Deon North
• Kimberly Sue Norton, COTA L
• Nursing Mama LLC
• Nurstead Consulting Services, LLC
• Verna Nussbaumer
• Nutrition Therapy
• Justin Dean Nutt, LSCSW, LCSW, LCSW,-S

• Family Nurse Practitioner in Clovis, NM
• Providers in Clovis, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.