Active NPI
Constance Elyse Lopez, FNP-C
- Family Medicine Physician
- Albuquerque, NM
National Provider Identifier
1316717333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 77189
- Practice address
- 10501 Montgomery Blvd NE Ste 320
Albuquerque, NM 87111-3832 - Phone
- (505) 886-1010
- NPI assigned
- Jan 2, 2024
- Last updated
- Jan 27, 2026
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 77189 | NM | Primary |
Addresses
Primary practice location
10501 Montgomery Blvd NE Ste 320
Albuquerque, NM 87111-3832
Mailing address
10501 Montgomery Blvd NE Ste 320
Albuquerque, NM 87111-3832
Phone (505) 886-1010
Other names 1
- Connie Elyse Lopez
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 |
|---|---|---|---|
| 77189 | NM | MD | Family Medicine Physician |
Interoperability endpoints
- constance.lopez@254559877857284.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769472000000",
"number": "1316717333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10501 MONTGOMERY BLVD NE STE 320",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871113832",
"telephone_number": "505-886-1010",
"fax_number": "505-520-4088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10501 MONTGOMERY BLVD NE STE 320",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871113832",
"telephone_number": "505-886-1010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "CONSTANCE",
"middle_name": "ELYSE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-02",
"last_updated": "2026-01-27",
"certification_date": "2026-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "77189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CONNIE",
"last_name": "LOPEZ",
"middle_name": "ELYSE",
"credential": "FNP-C",
"code": "5",
"type": "Other Name"
}
]
}
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 Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.