Individual provider Active NPI

Carol Ann Kiesling, M.D.

  • Obstetrics & Gynecology Physician
  • Las Cruces, NM
National Provider Identifier
1912075847
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD2003-0781 Issued in NM
Practice address
390 Calle de Alegra
Las Cruces, NM 88005-3280
Phone
(575) 556-8200
Fax
(575) 556-8180
NPI assigned
Nov 30, 2006
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X J4263 TX
Obstetrics & Gynecology Physician 207V00000X MD2003-0781 NM Primary

Addresses

Primary practice location

390 Calle de Alegra
Las Cruces, NM 88005-3280

Mailing address

385 Calle de Alegra
BLDG. a
Las Cruces, NM 88005-3423
Phone (575) 526-1105

Other identifiers 2

IdentifierTypeStateIssuer
L6571MedicaidNM
096776202MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040603000201 TX Practitioner - Obstetrics/Gynecology 4688656739 Reassigns benefits to 3 organizations
I20110922000601 NM Practitioner - Obstetrics/Gynecology 4688656739 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Feb 18, 2019 Accepting new patients
Presbyterian Healthcare Services Obstetrics & Gynecology CurrentSince Mar 16, 2023 Accepting new patients
Taos Health Systems Inc Holy Cross Hospital CurrentSince Mar 1, 2020 Accepting new patients
Presbyterian Healthcare Services CurrentSince Mar 16, 2023 Accepting new patients
Taos Professional Services, LLC CurrentSince Mar 1, 2020 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Dec 17, 2018 Accepting new patients
Pediatrix Medical Group of Texas Billing, Inc. Obstetrics & Gynecology CurrentSince Mar 1, 2019 Accepting new patients
Taos Professional Services,LLC Obstetrics & Gynecology CurrentSince Mar 1, 2020 Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital CurrentSince Mar 1, 2020 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Dec 17, 2018 Accepting new patients
Women's Specialists of New Mexico Past Accepting new patients
Womens Specialists of New Mexico LTD Obstetrics & Gynecology Past Accepting new patients

Locations

6100 Pan American East Fwy NE
Ste 100
Albuquerque, NM 87109
Phone (505) 727-6200

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

1010 Spruce St
Espanola, NM 87532
Phone (505) 367-0340

1329 Gusdorf Rd
Taos, NM 87571
Phone (505) 758-5001

1397 Weimer Rd
Taos, NM 87571
Phone (575) 751-5746

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (361) 985-5000

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

22999 Highway 59 N
Kingwood, TX 77339
Phone (281) 348-3322

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.779

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456704000000",
    "number": "1912075847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 CALLE DE ALEGRA",
            "address_2": "BLDG. A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053423",
            "telephone_number": "575-526-1105",
            "fax_number": "575-524-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 CALLE DE ALEGRA",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053280",
            "telephone_number": "575-556-8200",
            "fax_number": "575-556-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIESLING",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2016-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "J4263",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NM",
            "license": "MD2003-0781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "L6571",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096776202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.