Individual provider Active NPI

Joelle Leacock, CNM

  • Advanced Practice Midwife
  • Albuquerque, NM
National Provider Identifier
1043697873
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
844 Issued in NM
Practice address
3741 Rutledge Rd NE
Albuquerque, NM 87109-5566
Phone
(505) 798-9300
NPI assigned
Apr 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X RN270093 MA
Advanced Practice Midwife 367A00000X 844 NM Primary

Addresses

Primary practice location

3741 Rutledge Rd NE
Albuquerque, NM 87109-5566

Mailing address

502 Lacima Rd
Gallup, NM 87301-5739
Phone (617) 216-1398

Other practice location 1

2211 Lomas Blvd
UNM Hospital
Albuquerque, NM 87106
Phone (505) 272-2111

Other practice location 2

205 Ken Pratt Blvd Ste 120
Longmont, CO 80501-8998
Phone (405) 873-7212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200102001979 TX Practitioner - Certified Nurse Midwife (CNM) 4082929740 Reassigns benefits to 1 organization
I20230601000699 NM Practitioner - Certified Nurse Midwife (CNM) 4082929740 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
844NMMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pinon Perinatal Inc CurrentSince Jan 14, 2024 Accepting new patients
Unm Medical Group Inc CurrentSince Mar 28, 2023 Accepting new patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Nov 2, 2019 Accepting new patients
Unm Medical Group, Inc. CurrentSince Mar 28, 2023 Accepting new patients
Pinon Perinatal PastSince Jan 14, 2024 Accepting new patients

Locations

933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476

3741 Rutledge Rd NE
Albuquerque, NM 87109
Phone (505) 798-9300

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBBICD/Endpoint/FBBICD
  • Direct secure messaging: joelle.leacock@332828990373892.direct.elationemr.com

Organizations & group practices 5

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": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1043697873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 LACIMA RD",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015739",
            "telephone_number": "617-216-1398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3741 RUTLEDGE RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871095566",
            "telephone_number": "505-798-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2211 Lomas Blvd",
            "address_2": "UNM Hospital",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "87106",
            "country_code": "US",
            "telephone_number": "505-272-2111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 Ken Pratt Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805018998",
            "country_code": "US",
            "telephone_number": "405-873-7212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEACOCK",
        "first_name": "JOELLE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-30",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MA",
            "license": "RN270093",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NM",
            "license": "844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.