Individual provider Active NPI

Amy Longfellow

  • Family Medicine Physician
  • Taos, NM
National Provider Identifier
1023652633
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
PA2019-0101 Issued in NM
Practice address
1331 Maestas Rd
Taos, NM 87571-6268
Phone
(575) 776-7806
Fax
(575) 224-3348
NPI assigned
Nov 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X PA2019-0101 NM Primary

Addresses

Primary practice location

1331 Maestas Rd
Taos, NM 87571-6268

Mailing address

1331 Maestas Rd
Taos, NM 87571-6268
Phone (575) 776-7806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191122002178 NM Practitioner - Physician Assistant 9335571777 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
El Centro Family Health CurrentSince Nov 7, 2019 Accepting new patients
El Centro Family Health CurrentSince Nov 7, 2019 Accepting new patients
El Centro Family Health Past Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients

Locations

2010 Industrial Park Rd
Espanola, NM 87532
Phone (505) 753-3143

1331 Gusdorf Rd
Taos, NM 87571
Phone (505) 758-9412

Interoperability endpoints

  • Direct secure messaging: amy.longfellow.1@17440.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1023652633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 MAESTAS RD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716268",
            "telephone_number": "575-776-7806",
            "fax_number": "575-224-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 MAESTAS RD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716268",
            "telephone_number": "575-776-7806",
            "fax_number": "575-224-3348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGFELLOW",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "PA2019-0101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taos, NM

Sources for this page

Verify at the official NPI Registry.