Individual provider Active NPI

Casey L. Turnbough

  • Psychiatric/Mental Health Nurse Practitioner
  • Portales, NM
National Provider Identifier
1962719849
Registry record updated Jul 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CNP/01666 Issued in NM
Practice address
405 W 4TH St
Portales, NM 88130-6364
Phone
(575) 226-3898
Fax
(575) 226-3890
NPI assigned
Sep 13, 2010
Last updated
Jul 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP/01666 NM Primary

Addresses

Primary practice location

405 W 4TH St
Portales, NM 88130-6364

Mailing address

405 W 4TH St
Portales, NM 88130-6364
Phone (575) 226-3898

Other names 1

  • Casey Turnbough Professional name

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
I20110526000069 NM Practitioner - Nurse Practitioner 9931385010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Psychiatric Care Center LLCGroup PAC ID 3476877507, 3 clinicians

Practice addresses (Care Compare)

620 W 1St St
Portales, NM 88130-5928
Phone (575) 226-3898

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP/01666NMMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Psychiatric Care Center LLC CurrentSince Oct 1, 2014 Accepting new patients

Locations

1414 S Avenue O
Ste C
Portales, NM 88130

405 W 4th St
Portales, NM 88130
Phone (575) 219-9959

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720051200000",
    "number": "1962719849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W 4TH ST",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881306364",
            "telephone_number": "575-226-3898",
            "fax_number": "575-226-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W 4TH ST",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881306364",
            "telephone_number": "575-226-3898",
            "fax_number": "575-226-3890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNBOUGH",
        "first_name": "CASEY",
        "middle_name": "L.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-13",
        "last_updated": "2024-07-04",
        "certification_date": "2024-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "CNP/01666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASEY",
            "last_name": "TURNBOUGH",
            "credential": "PMHNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Portales, NM

Sources for this page

Verify at the official NPI Registry.