Active NPI
Judith Ann Lockwood, CNP
- Nurse Practitioner
- Taos, NM
National Provider Identifier
1205893583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R2123
- Practice address
- 330 Unit C
Pasel del Pueblo Sur
Taos, NM 87571-5219 - Phone
- (575) 758-1414
- NPI assigned
- Apr 28, 2006
- Reactivated
- Aug 31, 2007
- 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 | R2123 | NM | Primary |
Addresses
Primary practice location
330 Unit C
Pasel del Pueblo Sur
Taos, NM 87571-5219
Mailing address
PO Box 29048
Msc874
Phoenix, AZ 85308-2199
Phone (505) 338-3851
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
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R2123 | NM | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Fe Medical Group, LLC | 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.
-
- Primary Care Clinic/Center
- Santa Fe, NM
- NPI 1851401103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366934400000",
"number": "1205893583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 29048",
"address_2": "MSC874",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "853082199",
"telephone_number": "505-338-3851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 UNIT C",
"address_2": "PASEL DEL PUEBLO SUR",
"city": "TAOS",
"state": "NM",
"postal_code": "875715219",
"telephone_number": "575-758-1414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKWOOD",
"first_name": "JUDITH",
"middle_name": "ANN",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-28",
"last_updated": "2013-04-26",
"deactivation_date": "2007-07-17",
"reactivation_date": "2007-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NM",
"license": "R2123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.