Amanda D Lundy, RN SFA

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

R52751 Issued in NM

Practice address

1390 E 20TH St
Farmington, NM 87401-9037

Phone

(505) 599-8762

Fax

(505) 599-8796

NPI assigned

Aug 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Farmington Public Schools

  • Local Education Agency (LEA)
  • Farmington, NM
  • NPI 1114000221
  NPD (past)

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394668800000",
    "number": "1336332287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 E 20TH ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874019037",
            "telephone_number": "505-599-8762",
            "fax_number": "505-599-8796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 E 20TH ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874019037",
            "telephone_number": "505-599-8762",
            "fax_number": "505-599-8796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDY",
        "first_name": "AMANDA",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "RN SFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-23",
        "last_updated": "2014-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0800X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Orthopedic",
            "state": "NM",
            "license": "R52751",
            "primary": false
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NM",
            "license": "R52751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47522",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOVELACE",
            "identifier": "10035068",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW MEXICO BOARD OF NURSI",
            "identifier": "R52751",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00NM006H20",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loretta Lucero, RNFAC
• Martha Jean Luhrs, FNP-C
• Mathew Lujan, PHYSICIAN ASSISTANT
• Luminosity Headquarters
• Marlon Hekking Lund, COTA
• Karen Luneau
• Benton James Lunt, CRNA
• Kenneth Jared Lusk, D.D.S.
• Betsy Ellen Macdonald, CRNA
• Judith Macdonald

• School Registered Nurse in Farmington, NM
• Providers in Farmington, NM by specialty
• School Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.