Individual provider Active NPI

Nanette Lara, D.O.M

  • Acupuncturist
  • Albuquerque, NM
National Provider Identifier
1407994064
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
626 Issued in NM
Practice address
3303 Camino de la Sierra NE
Albuquerque, NM 87111-5503
Phone
(505) 440-9103
Fax
(505) 293-0927
NPI assigned
Feb 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 626 NM Primary

Addresses

Primary practice location

3303 Camino de la Sierra NE
Albuquerque, NM 87111-5503

Mailing address

3303 Camino de la Sierra NE
Albuquerque, NM 87111-5503
Phone (505) 440-9103

Other identifiers 1

IdentifierTypeStateIssuer
626OtherNMSTATE LICENSE NUMBER

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Point Acupuncture LLC Acupuncturist CurrentSince Jun 5, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1407994064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 CAMINO DE LA SIERRA NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871115503",
            "telephone_number": "505-440-9103",
            "fax_number": "505-293-0927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 CAMINO DE LA SIERRA NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871115503",
            "telephone_number": "505-440-9103",
            "fax_number": "505-293-0927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARA",
        "first_name": "NANETTE",
        "name_prefix": "Dr.",
        "credential": "D.O.M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-03",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "626",
            "state": "NM"
        }
    ],
    "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 Dec 23, 2020; 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.