Organization Active NPI

New Mexico Truecare Family Practice LLC

  • Family Nurse Practitioner
  • Las Vegas, NM
National Provider Identifier
1871375212
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
NEW MEXICO TRUECARE FAMILY PRACTICE LLC
Practice address
9 Pine Ridge Dr
Las Vegas, NM 87701-9685
Phone
(505) 426-5682
NPI assigned
Oct 19, 2023
Last updated
Jan 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Authorized official

Name
Danyelle Marie Romero, CNPNPI 1679929186
Title
Authorized Representative
Phone
(505) 426-5682

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

9 Pine Ridge Dr
Las Vegas, NM 87701-9685

Mailing address

9 Pine Ridge Dr
Las Vegas, NM 87701-9685
Phone (505) 426-5682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231211002747 NM Part B Supplier - Clinic/Group Practice 7214386622 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NM

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2293143New Mexico Truecare Family Practice9 Pine Ridge Dr, Las Vegas, NM 87701Certificate of waiverNov 2, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1697673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1871375212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 PINE RIDGE DR",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877019685",
            "telephone_number": "505-426-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 PINE RIDGE DR",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877019685",
            "telephone_number": "505-426-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO TRUECARE FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-19",
        "last_updated": "2024-01-31",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "DANYELLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "505-426-5682",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.