Diane Joy Kruis, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

NM89237 Issued in NM

Practice address

Corner of Stewart and Breland Dr
New Mexico State University Student Health Center
Las Cruces, NM 88003-8001

Phone

(505) 646-1512

Fax

(505) 646-6428

NPI assigned

Dec 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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.

• New Mexico State University Student Health Center

  • Student Health Clinic/Center
  • Las Cruces, NM
  • NPI 1336200294
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881756112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30001",
            "address_2": "MSC 3529 NEW MEXICO STATE UNIVERSITY STUDENT HEALTH CEN",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880038001",
            "telephone_number": "505-646-1512",
            "fax_number": "505-646-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CORNER OF STEWART AND BRELAND DR",
            "address_2": "NEW MEXICO STATE UNIVERSITY STUDENT HEALTH CENTER",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880038001",
            "telephone_number": "505-646-1512",
            "fax_number": "505-646-6428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUIS",
        "first_name": "DIANE",
        "middle_name": "JOY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NM",
            "license": "NM89237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Krikheli
• Suraya Krishnan
• Kristy L. Scullion-McPherson, PHD
• Kelly Kroc
• Darin Krueger
• Edward G. Kruis, CMHC
• Felicia Krynitz
• KS2 NM, PC (Kool Smiles)
• KSG First Assistants
• Jessica Marie Kubiak

• General Practice Physician in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• General Practice Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.