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Graceful Aging LLC

Gerontology Nurse Practitioner in Las Cruces, NM · enumerated 2018 · authorized official Amy Lopez, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053883306

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Registry record

Entity type Organization (Type 2)
Legal business name Graceful Aging LLC
Practice address 2707 Spitz St, Las Cruces, NM, 88005
Phone (575) 203-1477
Fax (575) 888-2444
Enumeration date Dec 27, 2018
Last updated in NPPES Mar 9, 2026

Taxonomy & classification

163WW0000X Wound Care Registered Nurse Nursing Service Providers Secondary
246RP1900X Phlebotomy Technician Technologists, Technicians & Other Technical Service Providers Secondary
363LA2200X Adult Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LG0600X Gerontology Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Primary

Authorized official

Name Amy Lopez
Title Owner
Phone (575) 621-3390

Other identifiers

Identifier Type State Issuer
12431265 Medicaid NM -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Graceful Aging LLC?
The NPI for Graceful Aging LLC is 1053883306, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Graceful Aging LLC?
NPPES lists Amy Lopez (Owner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-03-09.