Active NPI
Kaitlin Moulton
- Adult Health Clinical Nurse Specialist
- Las Cruces, NM
National Provider Identifier
1821958778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Clinical Nurse Specialist
- License
- 66932
- Practice address
- 805 N Motel Blvd
Las Cruces, NM 88007 - Phone
- (575) 526-3437
- NPI assigned
- Nov 13, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Clinical Nurse Specialist | 364SA2200X | 66932 | NM | Primary |
Addresses
Primary practice location
805 N Motel Blvd
Las Cruces, NM 88007
Mailing address
7580 Sierra Alta PL
Las Cruces, NM 88012-0710
Other practice location 1
1121 Mall Dr
Las Cruces, NM 88011-8102
Phone (575) 526-3437
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66932 | NM | MD | Adult Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762992000000",
"number": "1821958778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7580 SIERRA ALTA PL",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880120710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 N MOTEL BLVD",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "88007",
"telephone_number": "575-526-3437"
}
],
"practiceLocations": [
{
"address_1": "1121 Mall Dr",
"address_purpose": "LOCATION",
"city": "Las Cruces",
"state": "NM",
"postal_code": "880118102",
"country_code": "US",
"telephone_number": "575-526-3437",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOULTON",
"first_name": "KAITLIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-13",
"last_updated": "2025-11-13",
"certification_date": "2025-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "364SA2200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "NM",
"license": "66932",
"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 Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.