NPIMap

Organization Active NPI

Bare Nutrition LLC

  • Clinic/Center
  • Las Cruces, NM
National Provider Identifier
1982225017
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BARE NUTRITION LLC
Practice address
1155 S Telshor Blvd Ste 301
Las Cruces, NM 88011-4757
Phone
(575) 649-0073
NPI assigned
Apr 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Authorized official

Name
Ms. Amanda J Esquibel, MS, RD, LDNPI 1245851369
Title
Owner
Phone
(575) 649-0073

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1155 S Telshor Blvd Ste 301
Las Cruces, NM 88011-4757

Mailing address

C/O BBP Services LLC
1180 Commerce Dr Suite 13880
Las Cruces, NM 88013-4636
Phone (575) 649-0073

National Provider Directory

National Provider Directory

Locations

1180 Commerce Dr
Unit 13880
Las Cruces, NM 88013

1780 E University Ave
Las Cruces, NM 88003
Phone (575) 646-0111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1982225017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C/O BBP SERVICES LLC",
            "address_2": "1180 COMMERCE DR SUITE 13880",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880134636",
            "telephone_number": "575-649-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 S TELSHOR BLVD STE 301",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114757",
            "telephone_number": "575-649-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARE NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-29",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "ESQUIBEL",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-649-0073",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, RD, LD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.