Individual provider Active NPI

Karen Quigley-Trejo, L.M., I.B.C.L.C

  • Lactation Consultant (Non-RN)
  • Albuquerque, NM
National Provider Identifier
1568855419
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
11127253 Issued in NM
Practice address
901 Marquette Ave NW
Albuquerque, NM 87102-1935
Phone
(505) 459-1901
Fax
(877) 500-7949
NPI assigned
Mar 16, 2015
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lay Midwife 175M00000X 15136-R NM
Lactation Consultant (Non-RN) 174N00000X 11127253 NM Primary

Addresses

Primary practice location

901 Marquette Ave NW
Albuquerque, NM 87102-1935

Mailing address

901 Marquette Ave NW
Albuquerque, NM 87102-1935
Phone (505) 459-1901

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
11127253NMMDLactation Consultant (Non-RN)
15136-RNMMDLay Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Burgeon Birth-N-Life CurrentSince Jul 24, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1426464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1568855419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MARQUETTE AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871021935",
            "telephone_number": "505-459-1901",
            "fax_number": "866-730-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 MARQUETTE AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871021935",
            "telephone_number": "505-459-1901",
            "fax_number": "877-500-7949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIGLEY-TREJO",
        "first_name": "KAREN",
        "credential": "L.M., I.B.C.L.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175M00000X",
            "taxonomy_group": "",
            "desc": "Midwife, Lay",
            "state": "NM",
            "license": "15136-R",
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NM",
            "license": "11127253",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 21, 2022; 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.