Individual provider Active NPI

Monica Nicole Lucero, D.O.M

  • Acupuncturist
  • Los Lunas, NM
National Provider Identifier
1275955353
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1134 Issued in NM
Practice address
306 Lucero LN
Los Lunas, NM 87031-6884
Phone
(505) 550-5358
NPI assigned
Jan 9, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 1134 NM Primary

Addresses

Primary practice location

306 Lucero LN
Los Lunas, NM 87031-6884

Mailing address

306 Lucero LN
Los Lunas, NM 87031-6884
Phone (505) 550-5358

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

LicenseStateTypeSpecialty
1134NMMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Red Root Acupuncture & Herbs Acupuncturist Current Accepting new patients

Locations

2400 Rio Grande Blvd NW
Ste E
Albuquerque, NM 87104
Phone (505) 242-2032

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389225600000",
    "number": "1275955353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 LUCERO LN",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870316884",
            "telephone_number": "505-550-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 LUCERO LN",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870316884",
            "telephone_number": "505-550-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCERO",
        "first_name": "MONICA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "D.O.M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-09",
        "last_updated": "2014-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "1134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Lunas, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.