Individual provider Active NPI

Stephanie Lynn Delanda, FNP-C

  • Family Medicine Physician
  • Alamogordo, NM
National Provider Identifier
1699515643
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
79173 Issued in NM
Practice address
2539 Medical Dr Ste 110
Alamogordo, NM 88310-8720
Phone
(575) 446-5351
NPI assigned
May 28, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 79173 NM Primary

Addresses

Primary practice location

2539 Medical Dr Ste 110
Alamogordo, NM 88310-8720

Mailing address

2539 Medical Dr
Alamogordo, NM 88310-8720
Phone (575) 446-5351

Other names 1

  • Stephanie Lynn Harrison Former name

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
I20240715001580 NM Practitioner - Nurse Practitioner 9133664121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Otero County Hospital AssociationGroup PAC ID 3173516606, 245 clinicians

Practice addresses (Care Compare)

2669 Scenic Dr
Alamogordo, NM 88310-8700
Phone (505) 439-6100

Hospital & facility affiliations

  • Christus Southern New Mexico Hospital, Alamogordo, NM, CCN 320004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
79173NMMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Otero County Hospital Association Single Specialty CurrentSince Jul 1, 2024 Accepting new patients
Otero County Hospital Association CurrentSince Jul 1, 2024 Accepting new patients

Locations

2539 Medical Dr
Ste 110
Alamogordo, NM 88310
Phone (575) 434-2116

2669 Scenic Dr
Ste 110
Alamogordo, NM 88310

2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100

Interoperability endpoints

  • Direct secure messaging: stephanie.delanda.1@6965.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1699515643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2539 MEDICAL DR",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883108720",
            "telephone_number": "575-446-5351",
            "fax_number": "888-987-7187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2539 MEDICAL DR STE 110",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883108720",
            "telephone_number": "575-446-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELANDA",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "79173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "HARRISON",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alamogordo, NM

Sources for this page

Verify at the official NPI Registry.