Organization Active NPI

Womens Care Clinic of Lea County

  • Family Nurse Practitioner
  • Hobbs, NM
National Provider Identifier
1992456354
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
WOMENS CARE CLINIC OF LEA COUNTY
Practice address
5419 N. Lovington Hwy.
Suite 35
Hobbs, NM 88240
Phone
(575) 241-1211
Fax
(575) 241-1221
NPI assigned
Jan 17, 2022
Last updated
Mar 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Authorized official

Name
Miranda Young, CFNPNPI 1629540588
Title
Owner
Phone
(575) 241-1211

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary
Obstetrics & Gynecology Physician 207V00000X NU

Addresses

Primary practice location

5419 N. Lovington Hwy.
Suite 35
Hobbs, NM 88240

Mailing address

5419 N. Lovington Hwy.
Suite 35
Hobbs, NM 88240
Phone (575) 241-1211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220203001694 NM Part B Supplier - Clinic/Group Practice 3870986425 Receives reassigned benefits from 2 practitioners
Practice locations: Hobbs, NM

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25383/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1992456354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5419 N. LOVINGTON HWY.",
            "address_2": "SUITE 35",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "88240",
            "telephone_number": "575-241-1211",
            "fax_number": "575-241-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5419 N. LOVINGTON HWY.",
            "address_2": "SUITE 35",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "88240",
            "telephone_number": "575-241-1211",
            "fax_number": "575-241-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS CARE CLINIC OF LEA COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-17",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-241-1211",
        "authorized_official_credential": "CFNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobbs, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.