NPIMap

Organization Active NPI

Clarion Telehealth Network, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Cruces, NM
National Provider Identifier
1831544618
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5206472 Issued in NM
Legal business name
CLARION TELEHEALTH NETWORK, LLC
Practice address
4611 Research Park Cir Ste B227
Las Cruces, NM 88001-5948
Phone
(801) 473-8848
Fax
(610) 713-5312
NPI assigned
Apr 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Authorized official

Name
Mr. David J Kimball
Title
Owner
Phone
(801) 473-8848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 5206472 NM Primary

Addresses

Primary practice location

4611 Research Park Cir Ste B227
Las Cruces, NM 88001-5948

Mailing address

4611 Research Park Cir Ste B227
Las Cruces, NM 88001-5948
Phone (801) 473-8848

National Provider Directory

National Provider Directory

Locations

4611 Research Park Cir
Ste B227
Las Cruces, NM 88001
Phone (801) 473-8848

NPI Registry JSON

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1831544618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 RESEARCH PARK CIR STE B227",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015948",
            "telephone_number": "801-473-8848",
            "fax_number": "610-713-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 RESEARCH PARK CIR STE B227",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015948",
            "telephone_number": "801-473-8848",
            "fax_number": "610-713-5312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARION TELEHEALTH NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "KIMBALL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-473-8848",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "5206472",
            "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 Apr 28, 2016; 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.