AGELESS MEDICAL SPA - CLINIC
NPI 1518392380
Nurse Practitioner - Family in Las Cruces, NM

NPI Status: Active since September 11, 2013

Contact Information

3961 E LOHMAN AVE
SUITE 12
LAS CRUCES, NM
ZIP 88011
Phone: (575) 521-4888
Fax: (575) 521-4888

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  • Organization
  • Nurse Practitioner
  • Family

About AGELESS MEDICAL SPA - CLINIC

This page provides the complete NPI Profile along with additional information for Ageless Medical Spa - Clinic, a provider established in Las Cruces, New Mexico operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1518392380 assigned on September 2013. The practitioner's primary taxonomy code is 363LF0000X with license number CNP02129 (NM). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Miss Marila Taylor Np (Owner)

NPI
1518392380
Provider Name
AGELESS MEDICAL SPA - CLINIC
Entity Type
Organization
Location Address
3961 E LOHMAN AVE SUITE 12 LAS CRUCES, NM 88011
Location Phone
(575) 521-4888
Location Fax
(575) 521-4888
Mailing Address
3961 E LOHMAN AVE SUITE 12 LAS CRUCES, NM 88011
Mailing Phone
(575) 521-4888
Mailing Fax
(575) 521-4888
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-11-2013
Last Update Date
09-19-2013
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A nurse practitioner (NP) like Ageless Medical Spa - Clinic is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
CNP02129
License State
NM

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LW0102XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Women's Health

CNP02155 (NM)

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MISS MARILA TAYLOR NP

Authorized Official Title
OWNER
Authorized Official Phone
(915) 929-6369

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1518392380
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2528694316
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 2 + 8 + 6 + 9 + 4 + 3 + 1 + 6 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1518392380 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

DR. WENDI CHEREE WALLIN DC

Chiropractor

3961 E LOHMAN AVE
STE 22
LAS CRUCES, NM
ZIP 88011

(575) 652-3358

COVENANT CLINICS, LLC

Clinic/Center

(Urgent Care)

3961 E LOHMAN AVE
LAS CRUCES, NM
ZIP 88011

(505) 556-0200

DR. KRISTY L SCULLION-MCPHERSON PHD

Psychologist

3961 E LOHMAN AVE
STE 34
LAS CRUCES, NM
ZIP 88011

(505) 642-7200

MR. MIGUEL ANGEL AVALOS A.B.O.C.

Technician/Technologist

(Optician)

3961 E LOHMAN AVE
SUITE 11
LAS CRUCES, NM
ZIP 88011

(575) 522-6868

MRS. JANA LEA HORVATH LMT

Massage Therapist

3961 E LOHMAN AVE
LAS CRUCES, NM
ZIP 88011

(575) 525-9960

SASHA IRENE THORNOCK L.M.T.

Mechanotherapist

3961 E LOHMAN AVE
LAS CRUCES, NM
ZIP 88011

(575) 525-9960

ROXANA J VALENZUELA LMT

Mechanotherapist

3961 E LOHMAN AVE
LAS CRUCES, NM
ZIP 88011

(575) 525-9960

MR. DAN MITCHELL LMT

Massage Therapist

3961 E LOHMAN AVE
LAS CRUCES, NM
ZIP 88011

(575) 525-9960

DESIREE NICOLE FELKER LMT

Mechanotherapist

3961 E LOHMAN AVE
SUITE 34
LAS CRUCES, NM
ZIP 88011

(575) 585-9960

ISD RENAL INC

Clinic/Center

(End-Stage Renal Disease (ESRD) Treatment)

3961 E LOHMAN AVE
STE 29
LAS CRUCES, NM
ZIP 88011

(575) 532-9437

DR. ROBERT L. PATTERSON D.O.

General Practice

3961 E LOHMAN AVE
LAS CRUCES, NM
ZIP 88011

(505) 556-0200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518392380, enumerated as an "organization" on September 11, 2013.

The provider is located at 3961 E LOHMAN AVE SUITE 12 LAS CRUCES, NM 88011 and the phone number is (575) 521-4888.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.