Individual provider Active NPI

Diamond Ogodo, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Cruces, NM
National Provider Identifier
1750129912
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
53909 Issued in NM
Practice address
760 N Motel Blvd
Las Cruces, NM 88007-4169
Phone
(575) 527-7975
Fax
(575) 674-2861
NPI assigned
Jul 19, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 53909 NM
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 53909 NM Primary

Addresses

Primary practice location

760 N Motel Blvd
Las Cruces, NM 88007-4169

Mailing address

4545 Galisteo Loop
Las Cruces, NM 88011-4301
Phone (813) 833-5250

Other practice location 1

3751 Del Ray Blvd
Las Cruces, NM 88012
Phone (575) 382-3500

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
I20250121000370 NM Practitioner - Nurse Practitioner 1658800636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
La Clinica de Familia IncorporatedGroup PAC ID 6305745191, 70 clinicians

Practice addresses (Care Compare)

760 N Motel Blvd a-C
LCDF Community Mental Health Clinic
Las Cruces, NM 88007-4169
Phone (575) 526-1105

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
La Clinica de Familia, Incorporated CurrentSince Jan 13, 2025 Accepting new patients
La Clinica de Familia, Incorporated CurrentSince Jan 13, 2025 Accepting new patients
La Clinica de Familia, Incorporated Current Accepting new patients
BHC Mesilla Valley Hospital LLC PastSince Jul 1, 2024 Accepting new patients

Locations

826 Anthony Dr
Anthony, NM 88021
Phone (575) 201-5135

385 Calle de Alegra
Bldg A
Las Cruces, NM 88005
Phone 57552611052444

760 N Motel Blvd
Ste Ac
Las Cruces, NM 88007

535 S Miranda St
Las Cruces, NM 88005

Organizations & group practices 4

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": "1721347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1750129912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 GALISTEO LOOP",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114301",
            "telephone_number": "813-833-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 N MOTEL BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880074169",
            "telephone_number": "575-527-7975",
            "fax_number": "575-674-2861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3751 Del Ray Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "88012",
            "country_code": "US",
            "telephone_number": "575-382-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGODO",
        "first_name": "DIAMOND",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-19",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NM",
            "license": "53909",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "53909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.