Kaleigh Roberts, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

62094 Issued in NM

Practice address

104 Quail Trail
Unit B
Edgewood, NM 87015

Phone

(505) 208-0204

Fax

(505) 208-0204

NPI assigned

Dec 2, 2020

Sex

Female

Sole proprietor

No

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.

• CH Specialty Services NM LLC

  • Internal Medicine Physician
  • Espanola, NM
  • NPI 1346943685

  NM

  Medicare reassignment Care Compare group
• Curana Health of New Mexico LLC

  • Internal Medicine Physician
  • Espanola, NM
  • NPI 1598352015

  NM

  Medicare reassignment NPD

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CH Specialty Services NM LLC 19 clinicians

Practice addresses (Care Compare)

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 26, 2024.

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1962007385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ELIAS RD",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870317502",
            "telephone_number": "505-604-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 QUAIL TRAIL",
            "address_2": "UNIT B",
            "city": "EDGEWOOD",
            "state": "NM",
            "postal_code": "87015",
            "telephone_number": "505-208-0204",
            "fax_number": "505-208-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "KALEIGH",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-02",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "62094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel R Rascon, LMHC
• Nancy Jean Rawcliffe, MOTR L
• Lynn Eileen Riley, LPCC
• Jose Angel Rivas
• Denise Shirley River
• Amanda Lois Roesch, LMT
• Victoria Beth Rojo, R.PH
• Infinita Romano
• Rebecca Romans, DPT
• Mary Ann B Romero, PHYSICAL THERAPIST

• All providers in Edgewood, NM
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.