Organization Active NPI

Lumen Wellness Inc

  • Infusion Therapy Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1346053907
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
LUMEN WELLNESS INC
Practice address
2931 Monte Vista Blvd NE
Albuquerque, NM 87106-2165
Phone
(505) 205-1475
NPI assigned
Jan 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Authorized official

Name
Daniel Spanogle
Title
Owner/Ceo
Phone
(505) 453-5999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X Primary

Addresses

Primary practice location

2931 Monte Vista Blvd NE
Albuquerque, NM 87106-2165

Mailing address

2931 Monte Vista Blvd NE
Albuquerque, NM 87106-2165
Phone (505) 205-1475

Other names 1

  • LUMEN Optimal Wellness Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1346053907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2931 MONTE VISTA BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062165",
            "telephone_number": "505-205-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2931 MONTE VISTA BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062165",
            "telephone_number": "505-205-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMEN WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "SPANOGLE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "505-453-5999"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LUMEN Optimal Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LUMEN Optimal Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 5, 2025; 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.