Active NPI
Sherry Lee Lovelace, OTR/L
- Specialist
- Albuquerque, NM
National Provider Identifier
1265523971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 128
- Practice address
- 2300 Menaul Blvd NE
Albuquerque, NM 87107-1851 - Phone
- (505) 272-3000
- NPI assigned
- Sep 27, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 128 | NM | Primary |
| Occupational Therapist | 225X00000X | 128 | NM |
Addresses
Primary practice location
2300 Menaul Blvd NE
Albuquerque, NM 87107-1851
Mailing address
8204 Sarah CT NW
Albuquerque, NM 87114-1005
Phone (505) 268-8493
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85788244 | Medicaid | NM |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266278400000",
"number": "1265523971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8204 SARAH CT NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871141005",
"telephone_number": "505-268-8493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 MENAUL BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871071851",
"telephone_number": "505-272-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVELACE",
"first_name": "SHERRY",
"middle_name": "LEE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2010-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NM",
"license": "128",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NM",
"license": "128",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "85788244",
"state": "NM"
}
],
"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 Feb 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.