Active NPI
Joan Q McClelland, CFNP
- Nurse Practitioner
- Los Alamos, NM
National Provider Identifier
1194740555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R30440
- Practice address
- 3917 West Rd
Suite 150
Los Alamos, NM 87544-2275 - Phone
- (505) 662-4351
- Fax
- (505) 662-2932
- NPI assigned
- Jul 13, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R30440 | NM | Primary |
Addresses
Primary practice location
3917 West Rd
Suite 150
Los Alamos, NM 87544-2275
Mailing address
3917 West Rd
Suite 150
Los Alamos, NM 87544-2275
Phone (505) 662-4351
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 97528 | Medicaid | NM | |
| NM006287 | Other | NM | BCBS NM |
| 2202010923 | Other | PRESBYTERIAN HEALTH PLANS | |
| 2385852 | Other | UHC | |
| 100005460 | Other | LOVELACE | |
| 0009444161 | Other | PHCS | |
| PROVP14420 | Other | MOLINA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R30440 | NM | MD | Nurse Practitioner |
Interoperability endpoints
- joan.mcclelland@lamcc.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362441600000",
"number": "1194740555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3917 WEST RD",
"address_2": "SUITE 150",
"city": "LOS ALAMOS",
"state": "NM",
"postal_code": "875442275",
"telephone_number": "505-662-4351",
"fax_number": "505-662-2932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3917 WEST RD",
"address_2": "SUITE 150",
"city": "LOS ALAMOS",
"state": "NM",
"postal_code": "875442275",
"telephone_number": "505-662-4351",
"fax_number": "505-662-2932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLELLAND",
"first_name": "JOAN",
"middle_name": "Q",
"name_prefix": "Ms.",
"credential": "CFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2013-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NM",
"license": "R30440",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "97528",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NM",
"identifier": "NM006287",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN HEALTH PLANS",
"identifier": "2202010923",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "2385852",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOVELACE",
"identifier": "100005460",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "0009444161",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA",
"identifier": "PROVP14420",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Alamos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.