Individual provider Active NPI

Lydia Marie Hammond, PMHNP-BC, CNM

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Cruces, NM
National Provider Identifier
1881910859
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
65450 Issued in NM
Practice address
5035 Copper Bar Rd
Las Cruces, NM 88011-9391
Phone
(520) 329-2341
Fax
(680) 766-1757
NPI assigned
Apr 15, 2010
Last updated
Feb 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 301718 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 201250153NP OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 65450 NM Primary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X AP3631 AZ
Advanced Practice Midwife 367A00000X 814 NM
Advanced Practice Midwife 367A00000X 201250153NP OR
Advanced Practice Midwife 367A00000X AP3631 AZ

Addresses

Primary practice location

5035 Copper Bar Rd
Las Cruces, NM 88011-9391

Mailing address

5035 Copper Bar Rd
Las Cruces, NM 88011-9391
Phone (520) 329-2341

Other practice location 1

2520 S Telshor Blvd
Las Cruces, NM 88011-4907
Phone (575) 522-9793

Other names 1

  • Lydia Marie Watts Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, NM3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20130220000506 OR Practitioner - Certified Nurse Midwife (CNM) 6103958640 Reassigns benefits to 1 organization
I20220208001386 NM Practitioner - Certified Nurse Midwife (CNM) 6103958640 Reassigns benefits to 1 organization
I20240731003453 NM Practitioner - Nurse Practitioner 6103958640

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
301718AZMDPsychiatric/Mental Health Nurse Practitioner
201250153NPORMDPsychiatric/Mental Health Nurse Practitioner
814NMMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Las Cruces Physician Practices, LLC Current Accepting new patients

Locations

2520 S Telshor Blvd
Las Cruces, NM 88011
Phone (575) 522-9793

4351 E Lohman Ave
Ste 403
Las Cruces, NM 88011
Phone (575) 522-6806

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: lydia.hammond.1@19849.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1881910859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5035 COPPER BAR RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880119391",
            "telephone_number": "520-329-2341",
            "fax_number": "680-766-1757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5035 COPPER BAR RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880119391",
            "telephone_number": "520-329-2341",
            "fax_number": "680-766-1757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2520 S Telshor Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880114907",
            "country_code": "US",
            "telephone_number": "575-522-9793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMMOND",
        "first_name": "LYDIA",
        "middle_name": "MARIE",
        "credential": "PMHNP-BC, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-15",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "301718",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201250153NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "65450",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "AZ",
            "license": "AP3631",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NM",
            "license": "814",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "201250153NP",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "AZ",
            "license": "AP3631",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYDIA",
            "last_name": "WATTS",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.