Bernadette J Lujan, DOM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

DOM1141 Issued in NM

Practice address

338 Santa Ana St
Las Vegas, NM 87701-3758

Phone

(505) 454-0003

Fax

(505) 910-4665

NPI assigned

Jan 30, 2015

Last updated

Jan 20, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Balanced Health Acupuncture Center, LLC

  dba Balanced Health Acpuncture Center, LLC

  • Acupuncturist
  • Las Vegas, NM
  • NPI 1396149100
  NPD Authorized official

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1598155368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2183",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877012183",
            "telephone_number": "505-454-0003",
            "fax_number": "505-454-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 SANTA ANA ST",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877013758",
            "telephone_number": "505-454-0003",
            "fax_number": "505-910-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUJAN",
        "first_name": "BERNADETTE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DOM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-30",
        "last_updated": "2021-01-20",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "1142",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "DOM1141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raquel Lucero
• Roberta Albina Lucero, MPT ATC
• Tamara Lucero, CSW
• Marianne M. Luchini, M.D.
• Aleene Ludi, LMSW
• Elizabeth Lujan
• Stephanie Lujan, LPN
• Luna Community College
• Luna Community College
• Gary Aaron Luna, LISW

• Acupuncturist in Las Vegas, NM
• Providers in Las Vegas, NM by specialty
• Acupuncturist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.