Individual provider Active NPI

Constance Elyse Lopez, FNP-C

  • Family Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1316717333
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
77189 Issued in NM
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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
77189NMMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.