Active NPI
Rique Natasha Fernandez-Lymon
- Behavior Analyst
- Los Alamos, NM
National Provider Identifier
1356990345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 515087427
- Practice address
- 1350 Central Ave Ste 102
Los Alamos, NM 87544-3218 - Phone
- (505) 551-1241
- NPI assigned
- Sep 11, 2019
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 515087427 | NM | Primary |
Addresses
Primary practice location
1350 Central Ave Ste 102
Los Alamos, NM 87544-3218
Mailing address
1350 Central Ave Ste 102
Los Alamos, NM 87544-3218
Phone (505) 551-1241
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 |
|---|---|---|---|
| 515087427 | NM | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568160000000",
"number": "1356990345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 CENTRAL AVE STE 102",
"city": "LOS ALAMOS",
"state": "NM",
"postal_code": "875443218",
"telephone_number": "505-551-1241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 CENTRAL AVE STE 102",
"city": "LOS ALAMOS",
"state": "NM",
"postal_code": "875443218",
"telephone_number": "505-551-1241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ-LYMON",
"first_name": "RIQUE",
"middle_name": "NATASHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-11",
"last_updated": "2019-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NM",
"license": "515087427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Alamos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.