Active NPI
Isaac Lucero, REGISTERED NURSE
- Registered Nurse
- Las Cruces, NM
National Provider Identifier
1609369297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN-72919
- Practice address
- 1141 Mall Dr Ste E
Las Cruces, NM 88011-8194 - Phone
- (575) 288-7068
- Fax
- (575) 522-3151
- NPI assigned
- Jun 8, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN-72919 | NM | Primary |
Addresses
Primary practice location
1141 Mall Dr Ste E
Las Cruces, NM 88011-8194
Mailing address
1141 Mall Drive
Suite E
Las Cruces, NM 88011
Phone (575) 522-0660
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN-72919 | NM | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528416000000",
"number": "1609369297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1141 MALL DRIVE",
"address_2": "SUITE E",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "88011",
"telephone_number": "575-522-0660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1141 MALL DR STE E",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118194",
"telephone_number": "575-288-7068",
"fax_number": "575-522-3151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCERO",
"first_name": "ISAAC",
"name_prefix": "Mr.",
"credential": "REGISTERED NURSE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-08",
"last_updated": "2018-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "NM",
"license": "RN-72919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.