Active NPI
Nancy A Lara, CNP
- Gerontology Nurse Practitioner
- Las Cruces, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 54914
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54914 | NM | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Hospital Medicine Physicians LLC | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Texas, PLLC | Internal Medicine | Current | Accepting new patients |
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Signify Health, LLC | Nurse Practitioner | Current | Accepting new patients |
| Hospital Medicine Services of TX, PLLC | Hospitalist | Current | Accepting new patients |
| Hospital Care Consultants Region II Inc | Internal Medicine | Current | Accepting new patients |
| Siouxland Hospitalists PLLC | Internal Medicine | Current | Accepting new patients |
| North Texas Physician Services, PLLC | Internal Medicine | Current | Accepting new patients |
| Ess Hospitalist LLC | Hospitalist | Current | Accepting new patients |
| Nes Arizona Inc | Current | 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
- 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.
-
- Hospitalist Physician
- Las Cruces, NM
- NPI 1972056752
Internal Medicine
-
- General Practice Physician
- Albuquerque, NM
- NPI 1164491072
-
- Internal Medicine Physician
- West Memphis, AR
- NPI 1558491449
NM
-
- Hospitalist Physician
- San Antonio, TX
- NPI 1881392363
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
NM
-
- Internal Medicine Physician
- Longview, TX
- NPI 1992586150
-
- Internal Medicine Physician
- Sioux City, IA
- NPI 1831598614
-
- Rural Health Clinic/Center
- Roswell, NM
- NPI 1578255253
-
- Critical Care Medicine (Internal Medicine) Physician
- Las Cruces, NM
- NPI 1871082107
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
- 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; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.