Active NPI
Dim Care Moble Health
- Family Nurse Practitioner
- Las Cruces, NM
National Provider Identifier
1942554266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP01884
- Legal business name
- DIM CARE MOBLE HEALTH
- Practice address
- 301 N Roadrunner Pkwy
Las Cruces, NM 88011-9051 - Phone
- (575) 805-0560
- NPI assigned
- Nov 8, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Nwaogu, CNP
- Title
- Owner
- Phone
- (575) 805-0560
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP01884 | NM | Primary |
Addresses
Primary practice location
301 N Roadrunner Pkwy
Las Cruces, NM 88011-9051
Mailing address
PO Box 2801
Las Cruces, NM 88004-2801
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352332800000",
"number": "1942554266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2801",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880042801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 N ROADRUNNER PKWY",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880119051",
"telephone_number": "575-805-0560"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIM CARE MOBLE HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-08",
"last_updated": "2012-11-08",
"status": "A",
"authorized_official_last_name": "NWAOGU",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "575-805-0560",
"authorized_official_credential": "CNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "CNP01884",
"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 Nov 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.