Active NPI
Lisa A Marr, MD
- Geriatric Medicine (Internal Medicine) Physician
- Albuquerque, NM
National Provider Identifier
1346291192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- MD2008-0589
- Practice address
- University of New Mexico Unm Palliative Care Ofc
MSC 11 6020, 1 University of New Mexico
Albuquerque, NM 87131-0001 - Phone
- (505) 272-4868
- Fax
- (505) 272-8572
- NPI assigned
- May 15, 2006
- 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 |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | MD2008-0589 | NM | Primary |
Addresses
Primary practice location
University of New Mexico Unm Palliative Care Ofc
MSC 11 6020, 1 University of New Mexico
Albuquerque, NM 87131-0001
Mailing address
University of New Mexico Unm Palliative Care Ofc
MSC 11 6020, 1 University of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 272-4868
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000009652W | Other | HUMANA | |
| 34416700 | Medicaid | WI |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217116800000",
"number": "1346291192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UNIVERSITY OF NEW MEXICO UNM PALLIATIVE CARE OFC",
"address_2": "MSC 11 6020, 1 UNIVERSITY OF NEW MEXICO",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871310001",
"telephone_number": "505-272-4868",
"fax_number": "515-272-8572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UNIVERSITY OF NEW MEXICO UNM PALLIATIVE CARE OFC",
"address_2": "MSC 11 6020, 1 UNIVERSITY OF NEW MEXICO",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871310001",
"telephone_number": "505-272-4868",
"fax_number": "505-272-8572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARR",
"first_name": "LISA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-15",
"last_updated": "2008-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NM",
"license": "MD2008-0589",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "000009652W",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34416700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
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 Jul 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.