Individual provider Active NPI

Melissa Belle Ford, RN, FNP-C, PHD

  • Family Nurse Practitioner
  • Las Cruces, NM
National Provider Identifier
1750636072
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP-01980 Issued in NM
Practice address
2530 S Telshor Blvd
Suite 201
Las Cruces, NM 88011-4951
Phone
(575) 556-6525
Fax
(575) 556-1754
NPI assigned
Jul 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP-01980 NM Primary

Addresses

Primary practice location

2530 S Telshor Blvd
Suite 201
Las Cruces, NM 88011-4951

Mailing address

2530 S Telshor Blvd
Suite 201
Las Cruces, NM 88011-4951
Phone (575) 556-6525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy, Registered Nurse

State licenses

LicenseStateTypeSpecialty
CNP-01980NMMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1750636072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 S TELSHOR BLVD",
            "address_2": "SUITE 201",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114951",
            "telephone_number": "575-556-6525",
            "fax_number": "575-556-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 S TELSHOR BLVD",
            "address_2": "SUITE 201",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114951",
            "telephone_number": "575-556-6525",
            "fax_number": "575-556-1754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "MELISSA",
        "middle_name": "BELLE",
        "name_prefix": "Dr.",
        "credential": "RN, FNP-C, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-01980",
            "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 Jul 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.