Lori B Golzar, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

66942 Issued in NM

Practice address

630 W Maple St
Farmington, NM 87401-6113

Phone

(505) 609-6300

Fax

(505) 599-4636

NPI assigned

Apr 18, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Cenikor Foundation

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Farmington, NM
  • NPI 1861062168

  NM

  Medicare reassignment NPD
• San Juan Regional Medical Center Inc

  • Gastroenterology Physician
  • Farmington, NM
  • NPI 1639662901

  NM

  Medicare reassignment NPD
• SNF Wound Care

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1114393311

  NM

  Medicare reassignment NPD
• San Juan Regional Medical Center Inc

  • Surgery Physician
  • Farmington, NM
  • NPI 1104142215
  NPD
• San Juan Regional Medical Center Inc

  • Internal Medicine Physician
  • Farmington, NM
  • NPI 1225076003
  NPD
• San Juan Regional Medical Center Inc

  • Family Medicine Physician
  • Farmington, NM
  • NPI 1710589015
  NPD
• Cenikor Foundation

  • Community/Behavioral Health Agency
  • Houston, TX
  • NPI 1639492010
  NPD (past)

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1194468199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6210",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874996210",
            "telephone_number": "505-609-6300",
            "fax_number": "505-609-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W MAPLE ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874016113",
            "telephone_number": "505-609-6300",
            "fax_number": "505-599-4636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1313 Mission Ave NE",
            "address_purpose": "LOCATION",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "87401",
            "country_code": "US",
            "telephone_number": "713-266-9444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLZAR",
        "first_name": "LORI",
        "middle_name": "B",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-18",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NM",
            "license": "66942",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "66942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin K Goad, OTR/L
• Mallorie Godoy
• David P Goldstein, M.D.
• Clifford Scott Goldthorpe, D.O.
• Ariana Goldtooth, CSW
• Albert Lawrence Gomez, LCSW, LADAC
• Michell Leann Gomez, LPTA
• Stevie Gomez
• Tara A Gomez, RN SFA
• Amber Lee Gonzales

• All providers in Farmington, NM
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.

Verify at the official NPI Registry.