Individual provider Active NPI

Elaine E Attiogbe, MSN, FNP-BC, NP-C

  • Family Nurse Practitioner
  • Las Cruces, NM
National Provider Identifier
1902266430
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP-02859 Issued in NM
Practice address
3039 Memorial CT
Las Cruces, NM 88011-9127
Phone
(575) 522-4145
Fax
(575) 522-5236
NPI assigned
Feb 25, 2016
Last updated
Feb 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP-02859 NM Primary

Addresses

Primary practice location

3039 Memorial CT
Las Cruces, NM 88011-9127

Mailing address

3039 Memorial CT
Las Cruces, NM 88011-9127
Phone (575) 522-4145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160510000307 NM Practitioner - Nurse Practitioner 6608174073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fesss Family Healthcare LLCGroup PAC ID 7416031174, 2 clinicians

Practice addresses (Care Compare)

3039 Memorial Court
Las Cruces, NM 88011
Phone (575) 522-4145

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP-02859NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fesss Family Healthcare LLC CurrentSince Apr 28, 2016 Accepting new patients
Fesss Family Heathcare PastSince Apr 28, 2016 Accepting new patients

Locations

3039 Memorial Ct
Las Cruces, NM 88011
Phone (575) 522-4145

3039 Memorial Ct
Ste A
Las Cruces, NM 88011

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFBFDD

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456704000000",
    "number": "1902266430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3039 MEMORIAL CT",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880119127",
            "telephone_number": "575-522-4145",
            "fax_number": "575-522-5236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3039 MEMORIAL CT",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880119127",
            "telephone_number": "575-522-4145",
            "fax_number": "575-522-5236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTIOGBE",
        "first_name": "ELAINE",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-BC, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-25",
        "last_updated": "2016-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-02859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.