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GRACEFUL AGING LLC
NPI 1053883306
Nurse Practitioner - Gerontology in Las Cruces, NM

Active since December 27, 2018
2707 SPITZ ST, LAS CRUCES, NM 88005(575) 203-1477(575) 888-2444 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 9, 2026, Aug 2, 2021, Jul 30, 2021 and 2 more (5 updates tracked since 2018).

About Graceful Aging Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRACEFUL AGING LLC (NPI 1053883306) is a healthcare organization registered as a gerontology in Las Cruces, New Mexico and active in the NPI registry since December 2018. The organization lists Amy Elise Lopez, Owner, as its authorized official.

NPPES Registry Identity

NPI1053883306
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NameGRACEFUL AGING LLC
Location Address2707 SPITZ STLas Cruces, NM 88005-1338
Mailing AddressPo Box 13426Las Cruces, NM 88013-3426 · (575) 203-1477 · Fax (575) 888-2444
Phone(575) 203-1477
Fax(575) 888-2444
Organization SubpartNo
Authorized OfficialAmy Elise LopezOwner · (575) 621-3390
Enumeration DateDecember 27, 2018
Last NPPES UpdateMarch 9, 20265 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
✔ NPI 1053883306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
Also ListedRegistered Nurse · Wound CareTaxonomy 163WW0000X
Also ListedTechnician, Pathology · PhlebotomyTaxonomy 246RP1900X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
2707 SPITZ ST, Las Cruces, NM 88005
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Other Identifiers 1

Medicaid12431265NM

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BLUE HORIZON PROPERTIES, LLC
Assisted Living Facility
2707 SPITZ ST
LAS CRUCES, NM 88005
Doña Ana County (505) 269-4556

Frequently Asked Questions

What is GRACEFUL AGING LLC's NPI number?

The NPI number assigned to this healthcare provider is 1053883306, enumerated as an "organization" on December 27, 2018.

Where is the provider located?

The provider is located at 2707 SPITZ ST LAS CRUCES, NM 88005 and the phone number is (575) 203-1477.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LG0600X and a focus in Gerontology.

What insurance does GRACEFUL AGING LLC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.