Healthcare Provider Details

I. General information

NPI: 1316816796
Provider Name (Legal Business Name): FAITH HOPKINS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/03/2025
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4311 E LOHMAN AVE
LAS CRUCES NM
88011-8255
US

IV. Provider business mailing address

1455 S VALLEY DR STE 1
LAS CRUCES NM
88005-3165
US

V. Phone/Fax

Practice location:
  • Phone: 575-556-7600
  • Fax:
Mailing address:
  • Phone: 575-526-7777
  • Fax: 575-647-3165

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA2026-0034
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: