Individual provider Active NPI

Estela Gregoria Rubin, CNP

  • Family Nurse Practitioner
  • Truth Or Consequences, NM
National Provider Identifier
1952795023
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP-02644 Issued in NM
Practice address
800 E 9TH Ave
Truth Or Consequences, NM 87901-1954
Phone
(575) 894-2111
Fax
(575) 894-7659
NPI assigned
Mar 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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-02644 NM Primary

Addresses

Primary practice location

800 E 9TH Ave
Truth Or Consequences, NM 87901-1954

Mailing address

800 E 9TH Ave
Truth Or Consequences, NM 87901-1954
Phone (575) 894-2111

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
I20151229000325 NM Practitioner - Nurse Practitioner 7214238740 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sierra Vista HospitalGroup PAC ID 0143122416, 64 clinicians

Practice addresses (Care Compare)

800 E 9TH Ave
Truth Or Consequences, NM 87901-1954
Phone (575) 894-2111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP-02644NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Vista Hospital CurrentSince Sep 6, 2015 Accepting new patients
Sierra Vista Hospital Past Accepting new patients

Locations

800 E 9th Ave
Truth Or Consequences, NM 87901
Phone (505) 743-1270

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1952795023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E 9TH AVE",
            "city": "TRUTH OR CONSEQUENCES",
            "state": "NM",
            "postal_code": "879011954",
            "telephone_number": "575-894-2111",
            "fax_number": "575-894-7659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E 9TH AVE",
            "city": "TRUTH OR CONSEQUENCES",
            "state": "NM",
            "postal_code": "879011954",
            "telephone_number": "575-894-2111",
            "fax_number": "575-894-7659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "ESTELA",
        "middle_name": "GREGORIA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-26",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-02644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Truth Or Consequences, NM

Sources for this page

Verify at the official NPI Registry.