Active NPI
New Mexico Truecare Family Practice LLC
- Family Nurse Practitioner
- Las Vegas, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Danyelle Marie Romero, CNP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 32D2293143 | New Mexico Truecare Family Practice | Certificate of waiver | Nov 2, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Family Nurse Practitioner
- Las Vegas, NM
- NPI 1679929186
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
- New Mexico Behavioral Health Institute
- New Mexico Door 2 Door Transfers, LLC
- New Mexico Highlands University (Vistas Sin Limites @ NMHU)
- New Mexico Non-Emergency Medical Transport Incorporated
- New Mexico Quickcare Medical Group
- Kerry J Niec, LPCC
- NM BNPT Investment LLC
- Rudy Nolasco Jr.
- Northeast Regional Education Cooperative
- Northeast Regional Education Cooperative
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.