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FAMILY PRACTICE MEDICAL AND DIETETIC MEDICAL THERAPY
NPI 1609199447
Nurse Practitioner - Primary Care in Las Cruces, NM

Active since March 08, 2010
2904 HILLRISE DR, LAS CRUCES, NM 88011(575) 532-5386(575) 532-5449 Get Directions Write a Review

NPPES record last updated: March 29, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Family Practice Medical And Dietetic Medical Therapy NPPES

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

FAMILY PRACTICE MEDICAL AND DIETETIC MEDICAL THERAPY (NPI 1609199447) is a healthcare organization registered as a primary care in Las Cruces, New Mexico and active in the NPI registry since March 2010. The organization lists Jose Rosales, Owner, as its authorized official.

NPPES Registry Identity

NPI1609199447
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameFAMILY PRACTICE MEDICAL AND DIETETIC MEDICAL THERAPY
Location Address2904 HILLRISE DRLas Cruces, NM 88011-4702
Mailing Address2904 Hillrise DrLas Cruces, NM 88011-4702 · (575) 532-5386 · Fax (575) 532-5449
Phone(575) 532-5386
Fax(575) 532-5449
Organization SubpartNo
Authorized OfficialJose RosalesOwner · (575) 532-5386
Enumeration DateMarch 8, 2010
Last NPPES UpdateMarch 29, 2013
✔ NPI 1609199447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in NM · CNP00942
Also ListedDietitian, RegisteredTaxonomy 133V00000X · License DT06119 (TX), LD0748 (NM)
2904 HILLRISE DR, Las Cruces, NM 88011
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Other Identifiers 3

Medicaid58878335NM
Other1609199447NM · Bcbs
Medicare PINNMA100886NM

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.

GENTLE CARE PEDIATRICS, LLC
Pediatrics
2904 HILLRISE DR
LAS CRUCES, NM 88011
Doña Ana County (505) 532-5377
NUESTRO FUTURO, LLC
Pediatrics
2904 HILLRISE DR
LAS CRUCES, NM 88011
Doña Ana County (505) 521-7227
THE MEDICAL CLINIC LLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2904 HILLRISE DR
LAS CRUCES, NM 88011
Doña Ana County (575) 222-4074
RENE JOUKHADAR M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2904 HILLRISE DR
LAS CRUCES, NM 88011
Doña Ana County (575) 222-4074

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 Family Practice Medical And Dietetic Medical Therapy's NPI number?

The NPI number for Family Practice Medical And Dietetic Medical Therapy is 1609199447. It was assigned to this organization in the NPPES registry on March 8, 2010.

Where is Family Practice Medical And Dietetic Medical Therapy located?

Family Practice Medical And Dietetic Medical Therapy is located at 2904 Hillrise Dr, Las Cruces, NM 88011. The listed phone number is (575) 532-5386.

What is Family Practice Medical And Dietetic Medical Therapy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Family Practice Medical And Dietetic Medical Therapy was last updated on March 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.