Active NPI
Lesley Rico
- Nurse Practitioner
- Albuquerque, NM
National Provider Identifier
1245976703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 67746
- Practice address
- 1515 Eubank Blvd NE
Albuquerque, NM 87112-4112 - Phone
- (505) 844-6233
- NPI assigned
- May 9, 2022
- 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 | 67746 | NM | Primary |
Addresses
Primary practice location
1515 Eubank Blvd NE
Albuquerque, NM 87112-4112
Mailing address
6836 Mete Sol Dr NW
Albuquerque, NM 87120-4325
Phone (505) 280-7640
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 |
|---|---|---|---|
| 67746 | NM | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652054400000",
"number": "1245976703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6836 METE SOL DR NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871204325",
"telephone_number": "505-280-7640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 EUBANK BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871124112",
"telephone_number": "505-844-6233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICO",
"first_name": "LESLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-09",
"last_updated": "2022-05-09",
"certification_date": "2022-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NM",
"license": "67746",
"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 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.