Christie Haase

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

73872 Issued in NM

Practice address

208 Porr Dr
Ruidoso, NM 88345-6713

Phone

(575) 630-1214

Fax

(575) 630-2083

NPI assigned

Jun 9, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Renew Health LLCGroup PAC ID 7214314723, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Renew Health LLC

  • Nurse Practitioner
  • Roswell, NM
  • NPI 1336808831
  Medicare reassignment Care Compare group NPD
• Health Care Solutions PA

  • Family Medicine Physician
  • Ruidoso, NM
  • NPI 1366410771
  Medicare reassignment NPD
• Curednation LLC

  • Family Nurse Practitioner
  • Dallas, TX
  • NPI 1508587627
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1972287183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 CALLE DE ALVAREZ STE B",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053821",
            "telephone_number": "575-524-3346",
            "fax_number": "575-524-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 PORR DR",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883456713",
            "telephone_number": "575-630-1214",
            "fax_number": "575-630-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAASE",
        "first_name": "CHRISTIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-09",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "73872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hilary Anne Gunby, LMHC
• Erique Emmanuel Gutierrez, LCSW
• Mari Lynn Scarlett Gutierrez, LCSW
• Anatole Frank Gutowski
• David Alan Gutowski, OD
• Lora Sue Hanson, CSW
• Terri Hardeman
• Diane D Harmon, LISW
• Gary Harmon, PSYD
• Chasity Leanne Hawkins, LCSW

• Nurse Practitioner in Ruidoso, NM
• Providers in Ruidoso, NM by specialty
• Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.