Individual provider Active NPI

Kari J Lavigne, PA-C

  • Physician Assistant
  • Albuquerque, NM
National Provider Identifier
1114985660
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2005-0028 Issued in NM
Practice address
201 Cedar Street
6600
Albuquerque, NM 87106
Phone
(505) 724-4300
Fax
(505) 724-4384
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA2005-0028 NM
Physician Assistant 363A00000X PA2005-0028 NM Primary

Addresses

Primary practice location

201 Cedar Street
6600
Albuquerque, NM 87106

Mailing address

700 Lomas Blvd NE
3 Woodward Center
Albuquerque, NM 87102-2568
Phone (505) 242-1711

Other practice location 1

700 Lomas Blvd NE
3 Woodward Center
Albuquerque, NM 87102-2568
Phone (505) 242-1711

Other identifiers 1

IdentifierTypeStateIssuer
90808053MedicaidNM

Other names 1

  • Kari J Thomas Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051207000944 NM Practitioner - Physician Assistant 3173548369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2100 Louisiana Blvd NE
Suite 410
Albuquerque, NM 87110-5412
Phone 50572443003208

2101 Unser Blvd SE
Nmo Rio Rancho Clinic
Rio Rancho, NM 87124-6378
Phone (505) 724-4700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA2005-0028NMMDMedical Physician Assistant

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1114985660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 LOMAS BLVD NE",
            "address_2": "3 WOODWARD CENTER",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022568",
            "telephone_number": "505-242-1711",
            "fax_number": "505-242-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CEDAR STREET",
            "address_2": "6600",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87106",
            "telephone_number": "505-724-4300",
            "fax_number": "505-724-4384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Lomas Blvd NE",
            "address_2": "3 Woodward Center",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871022568",
            "country_code": "US",
            "telephone_number": "505-242-1711",
            "fax_number": "505-242-0189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAVIGNE",
        "first_name": "KARI",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NM",
            "license": "PA2005-0028",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2005-0028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90808053",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARI",
            "last_name": "THOMAS",
            "middle_name": "J",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.