Organization Active NPI

Lovell Medical LLC

  • Adult Health Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1033832571
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
LOVELL MEDICAL LLC
Practice address
4024 Cresta Park Ave NW
Albuquerque, NM 87114-5163
Phone
(575) 595-0150
NPI assigned
Sep 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Authorized official

Name
Michelle Lovell, NPNPI 1689186777
Title
Sole Member
Phone
(575) 595-0150

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

4024 Cresta Park Ave NW
Albuquerque, NM 87114-5163

Mailing address

4024 Cresta Park Ave NW
Albuquerque, NM 87114-5163
Phone (575) 595-0150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221026002291 NM Part B Supplier - Clinic/Group Practice 4385010743 Receives reassigned benefits from 1 practitioner
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1033832571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4024 CRESTA PARK AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145163",
            "telephone_number": "575-595-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4024 CRESTA PARK AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145163",
            "telephone_number": "575-595-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVELL MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "LOVELL",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "575-595-0150",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.