Organization Active NPI

Lesher Health Clinic LLC

  • Family Nurse Practitioner
  • Carlsbad, NM
National Provider Identifier
1609118603
Registry record updated Mar 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
LESHER HEALTH CLINIC LLC
Practice address
314 W Mermod St
Suite 103
Carlsbad, NM 88220-5749
Phone
(575) 234-1234
Fax
(575) 234-1640
NPI assigned
Mar 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2013

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

Authorized official

Name
Lisa M Lesher, FNP
Title
Owner/Practitioner
Phone
(575) 234-1234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

314 W Mermod St
Suite 103
Carlsbad, NM 88220-5749

Mailing address

PO Box 3116
Carlsbad, NM 88221-3116
Phone (575) 234-1234

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131125001046 NM Part B Supplier - Clinic/Group Practice 9739315631 Receives reassigned benefits from 1 practitioner
Practice locations: Carlsbad, NM

National Provider Directory

National Provider Directory

Locations

202 S Guadalupe St
Carlsbad, NM 88220
Phone (575) 234-1234

314 W Mermod St
Ste 103
Carlsbad, NM 88220
Phone (575) 234-1234

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363564800000",
    "number": "1609118603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3116",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882213116",
            "telephone_number": "575-234-1234",
            "fax_number": "575-234-1640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 W MERMOD ST",
            "address_2": "SUITE 103",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882205749",
            "telephone_number": "575-234-1234",
            "fax_number": "575-234-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESHER HEALTH CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-18",
        "last_updated": "2013-03-18",
        "status": "A",
        "authorized_official_last_name": "LESHER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "575-234-1234",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; 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.