Luna Community College

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

I-0458 Issued in NM

Legal business name

LUNA COMMUNITY COLLEGE

Practice address

366 Luna Dr
Las Vegas, NM 87701-9838

Phone

(505) 454-2585

Fax

(505) 454-5326

NPI assigned

Nov 14, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Elaine Valerie Luna, LISW

Title

Director Area Health Education Ctr.

Phone

(505) 454-2585

Specialties & licenses 1

Addresses

Tax ID family

Luna Community College2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Luna Community College

  • Community Health Worker
  • Las Vegas, NM
  • NPI 1689801060
  NPD tax ID

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1508143868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 LUNA DR",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877019838",
            "telephone_number": "505-454-2585",
            "fax_number": "505-454-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 LUNA DR",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877019838",
            "telephone_number": "505-454-2585",
            "fax_number": "505-454-5326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA COMMUNITY COLLEGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "LUNA",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "VALERIE",
        "authorized_official_title_or_position": "DIRECTOR AREA HEALTH EDUCATION CTR.",
        "authorized_official_telephone_number": "505-454-2585",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NM",
            "license": "I-0458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marianne M. Luchini, M.D.
• Aleene Ludi, LMSW
• Bernadette J Lujan, DOM
• Elizabeth Lujan
• Stephanie Lujan, LPN
• Luna Community College
• Gary Aaron Luna, LISW
• Mia H Lundergan, MA CCC SLP
• M Eileen Madrid, M.D.
• Tanya Madrid

• Early Intervention Provider Agency in Las Vegas, NM
• Providers in Las Vegas, NM by specialty
• Early Intervention Provider Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.