NPIMap

Individual provider Active NPI

Germaine Concha Valdez, FNP-C

  • Family Nurse Practitioner
  • Las Vegas, NM
National Provider Identifier
1952045643
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
67865 Issued in NM
Practice address
1235 8TH St
Las Vegas, NM 87701-4219
Phone
(505) 425-6788
NPI assigned
Apr 27, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 19

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.

View all 19

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Centro Family Health 31 clinicians

Practice addresses (Care Compare)

1235 8TH St
Las Vegas, NM 87701-4219
Phone (505) 425-6788

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220602000505 NM Practitioner - Nurse Practitioner 2668850793 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
El Centro Family Health CurrentSince May 23, 2022 Accepting new patients
El Centro Family Health Past Accepting new patients

Locations

538 N Paseo de Onate
Espanola, NM 87532
Phone (505) 753-7218

111 N Railroad Ave
Espanola, NM 87532
Phone (505) 753-7218

1235 8th St
Las Vegas, NM 87701
Phone (505) 425-6751

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 67865 NM Primary

Addresses

NPPES NPI Registry

Primary practice location

1235 8TH St
Las Vegas, NM 87701-4219

Mailing address

514 Lugar del Paraiso
Las Vegas, NM 87701-3234
Phone (505) 303-8073

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 27, 2022.

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1952045643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 LUGAR DEL PARAISO",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877013234",
            "telephone_number": "505-303-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 8TH ST",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014219",
            "telephone_number": "505-425-6788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDEZ",
        "first_name": "GERMAINE",
        "middle_name": "CONCHA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "67865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NM

Sources for this page

Verify at the official NPI Registry.