Shannon Albina Lujan, RN BSN
Individual provider Active NPI Community Health Registered Nurse · Taos, NM
NPI 1396124244 · NPPES record last updated May 26, 2015
Key facts
- NPI
- 1396124244
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- R64779 (NM)
- Practice address
- 230 Rotten Tree Road
Taos, NM 87571 - Phone
- (575) 758-7824
- NPI assigned
- May 26, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R64779 | NM | MD | Community Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Taos Pueblo CMS Administration | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | R64779 | NM | Yes |
Addresses
Primary practice location
230 Rotten Tree Road
Taos, NM 87571
Mailing address
P.O Box 161
Taos, NM 87571
Phone (575) 770-5626
Other providers in Taos, NM
- Amy D Lucero
- James Lucero
- Roger Alan Ludwig
- Alyssa Rose Lujan
- Audrey Lujan
- Luna Vista Behavioral Health Services
- Penny S Lusk
- Arthur William Lynch III
- Linda Carradine Lynch
- Chrystal Lyon
All providers in Taos, NM · Community Health Registered Nurse in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.