Organization Active NPI

Seyed-Hassan Nazirpour-Caloor CFNP LLC

  • Family Nurse Practitioner
  • Roswell, NM
National Provider Identifier
1699877704
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R32057 Issued in NM
Legal business name
SEYED-HASSAN NAZIRPOUR-CALOOR CFNP LLC
Practice address
612 W 8TH
Roswell, NM 88201
Phone
(575) 623-6161
Fax
(575) 623-6464
NPI assigned
Sep 1, 2006
Last updated
May 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Authorized official

Name
Seyed-Hassan Nazirpour-Caloor, CFNPNPI 1124070255
Title
Owner/Administrator
Phone
(575) 623-6161

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R32057 NM Primary

Addresses

Primary practice location

612 W 8TH
Roswell, NM 88201

Mailing address

PO Box 2745
Roswell, NM 88202-2745
Phone (575) 623-6161

Other identifiers 1

IdentifierTypeStateIssuer
47987359MedicaidNM

Other names 1

  • Caloor's Family Medical Practice Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191120002346 NM Part B Supplier - Clinic/Group Practice 2860446564 Receives reassigned benefits from 1 practitioner
Practice locations: Roswell, NM

National Provider Directory

National Provider Directory

Locations

612 W 8th St
Roswell, NM 88201
Phone (505) 433-2755

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1699877704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2745",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882022745",
            "telephone_number": "575-623-6161",
            "fax_number": "575-623-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 W 8TH",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "88201",
            "telephone_number": "575-623-6161",
            "fax_number": "575-623-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEYED-HASSAN NAZIRPOUR-CALOOR CFNP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "NAZIRPOUR-CALOOR",
        "authorized_official_first_name": "SEYED-HASSAN",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "575-623-6161",
        "authorized_official_credential": "CFNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "R32057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47987359",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caloor's Family Medical Practice",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Caloor's Family Medical Practice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Roswell, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.