Organization Active NPI

NM Stem Cell, LLC

  • Nurse Practitioner
  • Rio Rancho, NM
National Provider Identifier
1528617446
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
NM STEM CELL, LLC
Practice address
918 Pinehurst Rd., Suite 102
Rio Rancho, NM 87124-1068
Phone
(505) 404-9555
NPI assigned
Sep 4, 2019
Last updated
Feb 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Authorized official

Name
Dr. Lonnie Peets, DC DABCN
Title
Owner
Phone
(505) 554-9048

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU Primary

Addresses

Primary practice location

918 Pinehurst Rd., Suite 102
Rio Rancho, NM 87124-1068

Mailing address

918 Pinehurst Rd SE Ste 102
Rio Rancho, NM 87124-2568
Phone (505) 404-9555

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ladonna@nmstemcell.com Direct
Direct Messaging Address ladonna@nmstemcell.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220506000169 NM Part B Supplier - Clinic/Group Practice 6709263015 Receives reassigned benefits from 1 practitioner
Practice locations: Rio Rancho, NM

National Provider Directory

National Provider Directory

Locations

4111 Barbara Loop SE
#C2
Rio Rancho, NM 87124

918 Pinehurst Rd SE
Ste 102
Rio Rancho, NM 87124
Phone (505) 404-9555

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1528617446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 PINEHURST RD SE STE 102",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871242568",
            "telephone_number": "505-404-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 PINEHURST RD., SUITE 102",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241068",
            "telephone_number": "505-404-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NM STEM CELL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-04",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "PEETS",
        "authorized_official_first_name": "LONNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-554-9048",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC DABCN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ladonna@nmstemcell.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "NM Stem Cell",
            "address_1": "918 Pinehurst Rd., Suite 102",
            "city": "Rio Rancho",
            "state": "NM",
            "country_code": "US",
            "postal_code": "87124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ladonna@nmstemcell.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "Rio Rancho",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Rio Rancho",
            "address_1": "918 Pinehurst Rd., Suite 102",
            "city": "Rio Rancho",
            "state": "NM",
            "country_code": "US",
            "postal_code": "87124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.