Jacqueline M Meraz

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

4020 N Valley Dr
Las Cruces, NM 88007-6844

Phone

(575) 571-2724

Fax

(575) 571-2724

NPI assigned

Apr 10, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tripple Cross Home Health Care, LLC

  • Respite Care
  • Las Cruces, NM
  • NPI 1154815488
  NPD (past) Authorized official

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1851898423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 N VALLEY DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880076844",
            "telephone_number": "575-571-2724",
            "fax_number": "575-571-2724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 N VALLEY DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880076844",
            "telephone_number": "575-571-2724",
            "fax_number": "575-571-2724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERAZ",
        "first_name": "JACQUELINE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45432333",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mental Health Wellness Center LLC
• Mentele Healthy LLC
• Camilo Mera
• Meraz Family Health LLC
• Hector Jonathan Meraz, CSW
• Rosa Lilia Meraz, FNP
• Marco Ariel Mercado Jr.
• Ann S Mercer, M.D.
• Del A Mercer, NP
• Kelsi Meredith, LCSW

• Community/Behavioral Health Agency in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Community/Behavioral Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; 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.