Active NPI
Jeanette Ledoux, LMT 4468
- Specialist
- Albuquerque, NM
National Provider Identifier
1215161401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 4468
- Practice address
- 2800 San Mateo Blvd NE
Suite 106
Albuquerque, NM 87110-3135 - Phone
- (505) 884-9500
- NPI assigned
- May 4, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 4468 | NM | Primary |
Addresses
Primary practice location
2800 San Mateo Blvd NE
Suite 106
Albuquerque, NM 87110-3135
Mailing address
2800 San Mateo Blvd NE
Suite 106
Albuquerque, NM 87110-3135
Phone (505) 884-9500
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4468 | NM | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241395200000",
"number": "1215161401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 SAN MATEO BLVD NE",
"address_2": "SUITE 106",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871103135",
"telephone_number": "505-884-9500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 SAN MATEO BLVD NE",
"address_2": "SUITE 106",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871103135",
"telephone_number": "505-884-9500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDOUX",
"first_name": "JEANETTE",
"credential": "LMT 4468",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-04",
"last_updated": "2009-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NM",
"license": "4468",
"primary": true
}
],
"identifiers": [],
"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 May 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.