Active NPI
Nelson Kap-Kirwok
- Licensed Practical Nurse
- Las Cruces, NM
National Provider Identifier
1922492941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LP051537
- Practice address
- 735 S Mesquite St
Las Cruces, NM 88001-3622 - Phone
- (616) 566-3803
- NPI assigned
- Mar 27, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 4703114231 | MI | |
| Licensed Practical Nurse | 164W00000X | LP051537 | AZ | Primary |
Addresses
Primary practice location
735 S Mesquite St
Las Cruces, NM 88001-3622
Mailing address
735 S Mesquite St
Las Cruces, NM 88001-3622
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP051537 | AZ | MD | Licensed Practical Nurse |
| 4703114231 | MI | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safari Healthcare Associate | Current | Accepting new patients | |
| Safari Healthcare Foundation | Current | Accepting new patients | |
| New Mexico Support Network Inc | Current | Accepting new patients | |
| Texas Support Network Inc | Current | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Las Cruces, NM
- NPI 1659182962
-
- Home Health Agency
- Las Cruces, NM
- NPI 1447744974
-
- Adult Companion
- Las Cruces, NM
- NPI 1366279705
-
- Home Health Agency
- El Paso, TX
- NPI 1407656713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740700800000",
"number": "1922492941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "735 S MESQUITE ST",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880013622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 S MESQUITE ST",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880013622",
"telephone_number": "616-566-3803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAP-KIRWOK",
"first_name": "NELSON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-27",
"last_updated": "2025-02-28",
"certification_date": "2025-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "MI",
"license": "4703114231",
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "AZ",
"license": "LP051537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.