HALCYON HEALTH OF THE SOUTHWEST, LLC (NPI# 1760961908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760961908 |
| Entity Type | Organization |
| Organization Name | HALCYON HEALTH OF THE SOUTHWEST, LLC |
| Practice Address |
1355 California Ave Ste B Las Cruces NM 88001 |
| Mailing Address |
1355 California Ave Ste B Las Cruces NM 88001-4187 |
| Practice Telephone | 5755238951 |
| Practice Fax Number | 5753668011 |
| Mailing Telephone | 5755238951 |
| Mailing Fax Number | 5753668011 |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2018-12-06 |
| Authorized Official Name | MISTI LYNN (OWNER / PROVIDER) |
| Authorized Official Telephone | 9316366648 |
| Authorized Official Credential | FNP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | CNP-02392 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 64634876 | 05 |
| Street Address |
1355 CALIFORNIA AVE STE B |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020044 | Three Crosses Regional Hospital LLC | General Acute Care Hospital | 2560 Samaritan Drive, Las Cruces, NM 88001 | 2019-12-17 |
| 1255818530 | Lago Claro, LLC | Counselor | 2410 S. Espina St, Las Cruces, NM 88001 | 2018-07-19 |
| 1407371818 | Elijah Daniel Perez | Behavior Technician | 1535 Myrtle Ave, Las Cruces, NM 88001 | 2017-08-07 |
| 1982128641 | Krystal Marie Ruiz | Psychologist | 505 S. Main, Ste. 249, Las Cruces, NM 88001 | 2017-08-03 |
| 1457886913 | Mathew Petersen Dds PC | Dentist | 2001 E. Lohman Ave. Suite 121, Las Cruces, NM 88001 | 2017-04-21 |
| 1801343439 | Celia Holmes | Registered Nurse | 505 S Main, Ste 249, Las Cruces, NM 88001 | 2016-09-01 |
| 1427420223 | Sara Guidetti | Family Medicine | 3080 Breland Drive, Las Cruces, NM 88001 | 2015-10-20 |
| 1679987234 | Maria De Jesus Martinez | Nurse Practitioner | 1170 N. Solano Ste A, Las Cruces, NM 88001 | 2014-06-11 |
| 1851701494 | Viola E Garcia | Case Manager/Care Coordinator | 100 W Griggs, Las Cruces, NM 88001 | 2014-05-05 |
| 1851701015 | Sergio Esparza | Home Health Aide | 800 El Paseo Rd., Las Cruces, NM 88001 | 2014-04-28 |
| Find all providers in zip 88001 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851955488 | Vanessa Marie Tapia | Nurse Practitioner | 4365 Malaga St, Las Cruces, NM 88011-4341 | 2019-04-29 |
| 1962982371 | Megan R Vanderveen | Nurse Practitioner | 800 S Telshor Blvd Ste 100, Las Cruces, NM 88011-4623 | 2018-08-15 |
| 1154869873 | La Reencuentro LLC | Nurse Practitioner | 1045 S Main St, Las Cruces, NM 88005-2918 | 2017-02-01 |
| 1679987234 | Maria De Jesus Martinez | Nurse Practitioner | 1170 N. Solano Ste A, Las Cruces, NM 88001 | 2014-06-11 |
| 1164780441 | Elissa Marie Barfoot | Nurse Practitioner | 4672 N Sonoma Ranch Blvd Ste A, Las Cruces, NM 88011-7271 | 2012-04-24 |
| 1649340993 | Roselind Renee Williams | Nurse Practitioner | 999 W Amador Ave, Las Cruces, NM 88005-2739 | 2006-11-08 |
| 1568572451 | Jimmie K Hauser | Nurse Practitioner | 4351 E Lohman Ave Ste 100, Las Cruces, NM 88011-8258 | 2006-08-30 |
| 1083610554 | Gwen Renee Williams | Nurse Practitioner | 1680 Calle De Alvarez, Ste B, Las Cruces, NM 88005-3821 | 2005-06-21 |
| 1396366670 | Juan Gutierrez | Nurse Practitioner | 3331 Del Rey Blvd, Las Cruces, NM 88012-7713 | 2020-04-28 |
| 1922515675 | Maria I Crespin | Nurse Practitioner | 1998 N Motel Blvd, Las Cruces, NM 88007-4100 | 2018-01-03 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88001 |
Please comment or provide details below to improve the information on HALCYON HEALTH OF THE SOUTHWEST, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.