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CORE PRIMARYCARE CLINIC LLC
NPI 1568221885
Nurse Practitioner - Gerontology in Las Cruces, NM

Active since March 18, 2024
1557 MONTE VISTA AVE, LAS CRUCES, NM 88001(575) 571-6946 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Core Primarycare Clinic Llc NPPES

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

CORE PRIMARYCARE CLINIC LLC (NPI 1568221885) is a healthcare organization registered as a gerontology in Las Cruces, New Mexico and active in the NPI registry since March 2024. The organization lists Ekeoma I Cooper, Owner, as its authorized official.

NPPES Registry Identity

NPI1568221885
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NameCORE PRIMARYCARE CLINIC LLC
Location Address1557 MONTE VISTA AVELas Cruces, NM 88001-5731
Mailing Address6500 Northwest Dr Ste 350Mesquite, TX 75150-1364 · (575) 571-6946
Phone(575) 571-6946
Organization SubpartNo
Authorized OfficialEkeoma I CooperOwner · (575) 571-6946
Enumeration DateMarch 18, 2024
Last NPPES UpdateJuly 30, 2024
NPPES CertifiedJuly 30, 2024
✔ NPI 1568221885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
1557 MONTE VISTA AVE, Las Cruces, NM 88001
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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 4

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

GREEG FAMILY HEALTHCARE SERVICES
Nurse Practitioner (Family)
1557 MONTE VISTA AVE
LAS CRUCES, NM 88001
Doña Ana County (575) 532-5700
CORE MENTALHEALTH CLINIC LLC
Nurse Practitioner
1557 MONTE VISTA AVE
LAS CRUCES, NM 88001
Doña Ana County (575) 571-6948
DR. NELLIE ANASTASIA THURSTON DNP, FNP-BC
Nurse Practitioner (Family)
1557 MONTE VISTA AVE
LAS CRUCES, NM 88001
Doña Ana County (575) 532-5700
MRS. REGINA GODWIN UDO FNP-C MSN EDS
Nurse Practitioner (Family)
1557 MONTE VISTA AVE
LAS CRUCES, NM 88001
Doña Ana County (575) 532-5700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Core Primarycare Clinic LLC's NPI number?

The NPI number for Core Primarycare Clinic LLC is 1568221885. It was assigned to this organization in the NPPES registry on March 18, 2024.

Where is Core Primarycare Clinic LLC located?

Core Primarycare Clinic LLC is located at 1557 Monte Vista Ave, Las Cruces, NM 88001. The listed phone number is (575) 571-6946.

What is Core Primarycare Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Core Primarycare Clinic LLC was last updated on July 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.