Active NPI
John Patrick Buchanan, L.I.S.W.
- Clinical Social Worker
- Albuquerque, NM
National Provider Identifier
1235142191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I-3898
- Practice address
- 6729 4TH St NW
Albuquerque, NM 87107-6114 - Phone
- (505) 342-4678
- Fax
- (505) 242-4739
- NPI assigned
- Aug 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I-3898 | NM | Primary |
| Clinical Social Worker | 1041C0700X | LSW0000004290 | TN |
Addresses
Primary practice location
6729 4TH St NW
Albuquerque, NM 87107-6114
Mailing address
1901 Sol Rio CT NW
Albuquerque, NM 87107-3070
Phone (505) 345-3725
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSW0000004290 | TN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235142191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 SOL RIO CT NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871073070",
"telephone_number": "505-345-3725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6729 4TH ST NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871076114",
"telephone_number": "505-342-4678",
"fax_number": "505-242-4739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCHANAN",
"first_name": "JOHN",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "L.I.S.W.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "I-3898",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "LSW0000004290",
"primary": false
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.