Individual provider Active NPI

Patricia Ann McKay, D.O.M.

  • Acupuncturist
  • Albuquerque, NM
National Provider Identifier
1538282413
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
354 Issued in NM
Practice address
1704 Moon St NE Ste 14
Albuquerque, NM 87112-3972
Phone
(505) 459-7473
Fax
(505) 268-8705
NPI assigned
Apr 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 354 NM Primary

Addresses

Primary practice location

1704 Moon St NE Ste 14
Albuquerque, NM 87112-3972

Mailing address

2424 Plaza Vizcaya NW
Albuquerque, NM 87104-2936
Phone (505) 459-7473

Other identifiers 1

IdentifierTypeStateIssuer
NM00R53YOtherNMPIN # BCBS OF NM

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

State licenses

LicenseStateTypeSpecialty
354NMMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1175904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538282413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 PLAZA VIZCAYA NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871042936",
            "telephone_number": "505-459-7473",
            "fax_number": "505-268-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 MOON ST NE STE 14",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871123972",
            "telephone_number": "505-459-7473",
            "fax_number": "505-268-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKAY",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "D.O.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN # BCBS OF NM",
            "identifier": "NM00R53Y",
            "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 Jul 8, 2007; 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.