Individual provider Active NPI

Nancy A Lara, CNP

  • Gerontology Nurse Practitioner
  • Las Cruces, NM
National Provider Identifier
1689147134
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
54914 Issued in NM
Practice address
2450 S Telshor Blvd
Las Cruces, NM 88011-5141
Phone
(575) 556-5890
NPI assigned
Jan 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 54914 NM
Gerontology Nurse Practitioner 363LG0600X 54914 NM Primary

Addresses

Primary practice location

2450 S Telshor Blvd
Las Cruces, NM 88011-5141

Mailing address

4072 Demos Ave
Las Cruces, NM 88011-4209
Phone (973) 807-6446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX, IA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190328002549 NM Practitioner - Nurse Practitioner 3870833809 Reassigns benefits to 7 organizations
I20200930002775 TX Practitioner - Nurse Practitioner 3870833809 Reassigns benefits to 2 organizations
I20240729003465 IA Practitioner - Nurse Practitioner 3870833809 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
54914NMMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Hospital Medicine Physicians LLC Internal Medicine CurrentSince Mar 31, 2022 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Jun 30, 2023 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Jan 1, 2025 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Jan 1, 2025 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Apr 1, 2023 Accepting new patients
Hospital Medicine Services of TX, PLLC Hospitalist CurrentSince Nov 1, 2024 Accepting new patients
Hospital Care Consultants Region II Inc Internal Medicine CurrentSince Oct 18, 2023 Accepting new patients
Siouxland Hospitalists PLLC Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
North Texas Physician Services, PLLC Internal Medicine CurrentSince Feb 13, 2024 Accepting new patients
Ess Hospitalist LLC Hospitalist CurrentSince Dec 22, 2019 Accepting new patients
Nes Arizona Inc CurrentSince Jul 1, 2023 Accepting new patients
El Paso Pulmonary Association Past Accepting new patients

Locations

2720 Stone Park Blvd
Ste 335
Sioux City, IA 51104
Phone (712) 220-6634

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040

4701 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 727-2000

2430 W Pierce St
Carlsbad, NM 88220
Phone (505) 887-4100

900 W Ash St
Deming, NM 88030
Phone (505) 546-2761

1901 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-7000

2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641

3917 West Rd
Los Alamos, NM 87544
Phone (505) 661-9584

405 W Country Club Rd
Roswell, NM 88201
Phone (505) 622-8170

4801 Beckner Rd
Santa Fe, NM 87507
Phone (505) 772-1234

1313 E 32nd St
Silver City, NM 88061
Phone (505) 537-4953

800 E 9th Ave
Truth Or Consequences, NM 87901
Phone (505) 743-1270

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

21214 Northwest Fwy
Cypress, TX 77429
Phone (832) 912-3500

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4305 N Mesa St
Ste A
El Paso, TX 79902
Phone (915) 532-2477

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Interoperability endpoints

  • Direct secure messaging: nancy.lara.1@14940.direct.athenahealth.com

Organizations & group practices 12

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": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1689147134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4072 DEMOS AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114209",
            "telephone_number": "973-807-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 S TELSHOR BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115141",
            "telephone_number": "575-556-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARA",
        "first_name": "NANCY",
        "middle_name": "A",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "54914",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NM",
            "license": "54914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.