Melissa Anne Portillo, RN

Primary specialty

Hospice Registered NurseTaxonomy code 163WH1000X

License

78040 Issued in NM

Practice address

101 N Alameda Blvd
Las Cruces, NM 88005-2610

Phone

(505) 993-2673

NPI assigned

Aug 7, 2024

Last updated

Aug 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1760212351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 SAN ANDRES DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880078020",
            "telephone_number": "915-799-1456",
            "fax_number": "915-564-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N ALAMEDA BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052610",
            "telephone_number": "505-993-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTILLO",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "NM",
            "license": "78040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Maria Portillo
• Crystal Portillo, LMHC
• Diana Portillo, DNP, FNP-C, PMHNP-BC
• Dorothy M Portillo, FNP-C
• Kenia Denise Portillo
• Rafael Portillo
• Robert S Poston, MD
• Jackie Ann Potia
• Caitlin Renee Potter
• Nathan C. Powell, B.S.W.

• Hospice Registered Nurse in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Hospice Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.