Active NPI
Laura Waymire, M.D.
- Neurology Physician
- Farmington, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD2014-0243
- Practice address
- 2300 E 30TH St Ste B-102
Farmington, NM 87401-8991 - Phone
- (505) 609-6790
- Fax
- (505) 599-4640
- NPI assigned
- Mar 31, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD2014-0243 | NM | Primary |
Addresses
Primary practice location
2300 E 30TH St Ste B-102
Farmington, NM 87401-8991
Mailing address
PO Box 844088
Dallas, TX 75284-4088
Phone (505) 609-2258
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 63283786 | Medicaid | NM |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | laura.waymire@sjmedical.cernerdirect.com | Other | SAN JUAN REGIONAL MEDICAL CENTER INC |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141024000980 | NM | Practitioner - Neurology | 7113151275 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- University of New Mexico School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2300 E 30TH St
102 Sjrmc Neurology
Farmington, NM 87401-8991
Phone (505) 609-6790
Hospital & facility affiliations
- San Juan Regional Medical Center Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.97 of 100
- Quality
- 79.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.87
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Juan Regional Medical Center Inc | Current | Accepting new patients | |
| San Juan Regional Medical Center Inc | Neurology | Current | Accepting new patients |
| San Juan Regional Medical Center Inc | Current | Accepting new patients | |
| San Juan Regional Medical Center Inc | Past | Accepting new patients |
Locations
120 Llano St
Aztec, NM 87410
Phone (505) 334-3404
407 S Schwartz Ave
Ste 101
Farmington, NM 87401
Phone (505) 609-6595
2300 E 30th St
Ste B-102
Farmington, NM 87401
Phone (505) 327-4044
4820 E Main St
Ste 2
Farmington, NM 87402
Phone (505) 609-6610
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.
-
- Family Medicine Physician
- Farmington, NM
- NPI 1710589015
-
- Family Medicine Physician
- Aztec, NM
- NPI 1861467433
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Farmington, NM
- NPI 1326663592
Hospital
-
- General Acute Care Hospital
- Farmington, NM
- NPI 1427058510
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731542400000",
"number": "1104141233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844088",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844088",
"telephone_number": "505-609-2258",
"fax_number": "505-609-2259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 E 30TH ST STE B-102",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874018991",
"telephone_number": "505-609-6790",
"fax_number": "505-599-4640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAYMIRE",
"first_name": "LAURA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-31",
"last_updated": "2024-11-14",
"certification_date": "2024-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NM",
"license": "MD2014-0243",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "63283786",
"state": "NM"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "laura.waymire@sjmedical.cernerdirect.com",
"affiliation": "Y",
"affiliationName": "SAN JUAN REGIONAL MEDICAL CENTER INC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2300 E 30th St Ste B-102",
"city": "Farmington",
"state": "NM",
"country_code": "US",
"postal_code": "874018991",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.