Catron County Cowboy Clinic LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CATRON COUNTY COWBOY CLINIC LLC

Practice address

829 N Manzanita St
Las Cruces, NM 88001-2248

Phone

(715) 566-1652

Fax

(575) 800-5910

NPI assigned

Mar 13, 2025

Organization subpart

No

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

Authorized official

Name

Jenifer Deziel, NPNPI 1336589969

Title

Owner

Phone

(715) 566-1652

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jenifer Ann Deziel, APNP

  • Nurse Practitioner
  • Reserve, NM
  • NPI 1336589969
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1741824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1770382434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 N MANZANITA ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880012248",
            "telephone_number": "715-566-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 N MANZANITA ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880012248",
            "telephone_number": "715-566-1652",
            "fax_number": "575-800-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATRON COUNTY COWBOY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "DEZIEL",
        "authorized_official_first_name": "JENIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-566-1652",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catharine a. Foster, CNP, PC
• Catherine T. Kemmer, MD, PA
• Paulina Catherson
• Kathleen Cathey, DNP, C-FNP
• Ryan Jack Catlan, MA., CCC-SLP
• Jessica Cauthorne, LMSW
• Seth Parker Cauthorne, LISW
• Michele Marie Cavanaugh, MSN, APRN, PMHNP-BC
• Mark Cavaretta, MD
• Claudia Judith Cavazos

• Family Medicine Physician in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.