Loma Vista General and Family Practice

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0992269-NP Issued in CO

Legal business name

LOMA VISTA GENERAL AND FAMILY PRACTICE

Practice address

2201 San Juan Ave
La Junta, CO 81050-3323

Phone

(719) 384-8181

Fax

(719) 384-4872

NPI assigned

Apr 5, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Marion Lee Schmucker, M.D.

Title

Owner

Phone

(719) 384-8181

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1407219579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 SAN JUAN AVE",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810503323",
            "telephone_number": "719-384-8181",
            "fax_number": "719-384-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 SAN JUAN AVE",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810503323",
            "telephone_number": "719-384-8181",
            "fax_number": "719-384-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOMA VISTA GENERAL AND FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-05",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "SCHMUCKER",
        "authorized_official_first_name": "MARION",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-384-8181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0992269-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO STATE LICENSE",
            "identifier": "0992269-NP",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• La Junta Rural Fire Protection District
• La Junta Rural Fire Protection District
• Rosa Linda Lacy, DDS
• Lock Monkey Inc
• Loma Vista General & Family Practice PC
• Loma Vista Surgery PC
• Kassidy Lynn Lotrich, DPT
• Kristopher Michael Love, NP-C
• Emily Suzanna Lucero-Deleon, CAC III
• Sandra Marie Lundquist, M.S.

• Family Nurse Practitioner in La Junta, CO
• Providers in La Junta, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.