Individual provider Active NPI

Steve K Lauer, FNP C

  • Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1104801182
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CNP01184 Issued in NM
Practice address
1020 Tijeras Ave NE
Albuquerque, NM 87106
Phone
(505) 848-3124
Fax
(505) 848-5008
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CNP01184 NM Primary

Addresses

Primary practice location

1020 Tijeras Ave NE
Albuquerque, NM 87106

Mailing address

1020 Tijeras Ave NE
Albuquerque, NM 87106-4749

Other practice location 1

1020 Tijeras Ave NE
Albuquerque, NM 87106
Phone (505) 848-3124

Other practice location 2

1651 Galisteo St
Suite 8
Santa Fe, NM 87505-4752
Phone (505) 820-9870

Other identifiers 2

IdentifierTypeStateIssuer
541170YQ9XOtherNMMEDICARE PTAN
48976261MedicaidNM

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)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Partners, PLLC 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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1104801182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 TIJERAS AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 TIJERAS AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87106",
            "telephone_number": "505-848-3124",
            "fax_number": "505-848-5008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 Tijeras Ave NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "87106",
            "country_code": "US",
            "telephone_number": "505-848-3124",
            "fax_number": "505-848-5008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1651 Galisteo St",
            "address_2": "Suite 8",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875054752",
            "country_code": "US",
            "telephone_number": "505-820-9870",
            "fax_number": "505-983-1265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAUER",
        "first_name": "STEVE",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "FNP C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "CNP01184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "541170YQ9X",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "48976261",
            "state": "NM"
        }
    ],
    "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, 2018; 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.