Individual provider Active NPI

Lorella D. Tapia-Reyes, D.O.M.

  • Acupuncturist
  • Albuquerque, NM
National Provider Identifier
1093813206
Registry record updated Dec 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
722RX1 Issued in NM
Practice address
2901 Juan Tabo Blvd NE Ste 117
Albuquerque, NM 87112-1885
Phone
(505) 275-9602
Fax
(505) 275-9604
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 722 NM
Acupuncturist 171100000X 722RX1 NM Primary

Addresses

Primary practice location

2901 Juan Tabo Blvd NE Ste 117
Albuquerque, NM 87112-1885

Mailing address

2901 Juan Tabo Blvd NE Ste 117
Albuquerque, NM 87112-1885
Phone (505) 275-9602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
722RX1NMMDAcupuncturist
722NMMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Acupuncture Associates of America, Inc. Acupuncturist Past Accepting new patients

Organizations & group practices 1

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733616000000",
    "number": "1093813206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 JUAN TABO BLVD NE STE 117",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871121885",
            "telephone_number": "505-275-9602",
            "fax_number": "505-275-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 JUAN TABO BLVD NE STE 117",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871121885",
            "telephone_number": "505-275-9602",
            "fax_number": "505-275-9604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAPIA-REYES",
        "first_name": "LORELLA",
        "middle_name": "D.",
        "name_prefix": "Mrs.",
        "credential": "D.O.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-12-08",
        "certification_date": "2024-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "722",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "722RX1",
            "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 Dec 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.