Individual provider Active NPI

Lauren Harris

  • Pain Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1538667068
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
CNP-03493 Issued in NM
Practice address
8100 Wyoming Blvd NE Ste M4
Albuquerque, NM 87113
Phone
(505) 727-7177
Fax
(505) 727-3778
NPI assigned
Jan 30, 2018
Last updated
Jan 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X F01180075 NM
Pain Medicine Physician 208VP0000X CNP-03493 NM Primary

Addresses

Primary practice location

8100 Wyoming Blvd NE Ste M4
Albuquerque, NM 87113

Mailing address

8100 Wyoming Blvd NE Ste M4
Albuquerque, NM 87113-1963
Phone (505) 727-7177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180323000599 NM Practitioner - Nurse Practitioner 6709148109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diego J Gonzalez MD PCGroup PAC ID 8527324367, 4 clinicians

Practice addresses (Care Compare)

101 Hospital Loop NE
Suite 109
Albuquerque, NM 87109-2100
Phone (505) 727-4400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F01180075NMMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diego J Gonzalez MD PC CurrentSince Sep 1, 2018 Accepting new patients

Locations

101 Hospital Loop NE
Ste 109
Albuquerque, NM 87109
Phone (505) 727-4400

4630 Jefferson Ln NE
Albuquerque, NM 87109
Phone (505) 361-1931

8100 Wyoming Blvd NE
Ste M4
Albuquerque, NM 87113
Phone (505) 301-1105

8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000

Interoperability endpoints

  • Direct secure messaging: lharris181622@ahs.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1538667068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 WYOMING BLVD NE STE M4",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131963",
            "telephone_number": "505-727-7177",
            "fax_number": "505-727-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 WYOMING BLVD NE STE M4",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87113",
            "telephone_number": "505-727-7177",
            "fax_number": "505-727-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "LAUREN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-30",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NM",
            "license": "F01180075",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NM",
            "license": "CNP-03493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.