Individual provider Active NPI

Nicole Marie Ledesma-Goins

  • Family Nurse Practitioner
  • Richardson, TX
National Provider Identifier
1700567864
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
74939 Issued in NM
Practice address
2011 N Collins Blvd Ste 607
Richardson, TX 75080-2636
Phone
(800) 640-3451
NPI assigned
Jul 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1215387 TX
Family Nurse Practitioner 363LF0000X 74939 NM Primary

Addresses

Primary practice location

2011 N Collins Blvd Ste 607
Richardson, TX 75080-2636

Mailing address

PO Box 1200
Pleasant Grove, UT 84062-1200
Phone (800) 640-3451

Other practice location 1

3825 Eubank Blvd NE Ste A
Albuquerque, NM 87111-3559
Phone (800) 640-3451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240513001103 NM Practitioner - Nurse Practitioner 6709227481 Reassigns benefits to 2 organizations
I20260415000197 TX Practitioner - Nurse Practitioner 6709227481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spencer J Hardenbrook MD PCGroup PAC ID 2062733546, 93 clinicians

Practice addresses (Care Compare)

3825 Eubank Blvd NE
Suite a
Albuquerque, NM 87111-3559
Phone (800) 640-3451

7115 Blanco Rd
Suite 101
San Antonio, TX 78216-5045
Phone (800) 640-3451

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1215387TXMDNurse Practitioner
74939NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spencer J Hardenbrook MD PC CurrentSince Apr 1, 2026 Accepting new patients
Family Medicine PC CurrentSince Apr 1, 2026 Accepting new patients
Lung Specialists of Las Cruces, LLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

3825 Eubank Blvd NE
Ste A
Albuquerque, NM 87111
Phone (505) 292-8575

2407 S Telshor Blvd
Las Cruces, NM 88011
Phone (575) 522-3220

2560 Samaritan Dr
Las Cruces, NM 88001
Phone (575) 800-3868

4445 N Mesa St
Ste 122
El Paso, TX 79902

2011 N Collins Blvd
Ste 607
Richardson, TX 75080
Phone (833) 258-7900

7115 Blanco Rd
Ste 101
San Antonio, TX 78216
Phone (210) 338-8800

Organizations & group practices 3

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": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1700567864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1200",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840621200",
            "telephone_number": "800-640-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 N COLLINS BLVD STE 607",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802636",
            "telephone_number": "800-640-3451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3825 Eubank Blvd NE Ste A",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871113559",
            "country_code": "US",
            "telephone_number": "800-640-3451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEDESMA-GOINS",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1215387",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "74939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.