Individual provider Active NPI

Jessica Elizabeth McKay

  • Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1619644325
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
65473 Issued in NM
Practice address
1020 Tijeras Ave NE
Albuquerque, NM 87106-4749
Phone
(505) 727-1670
NPI assigned
Aug 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN671554 PA
Nurse Practitioner 363L00000X 65473 NM Primary

Addresses

Primary practice location

1020 Tijeras Ave NE
Albuquerque, NM 87106-4749

Mailing address

1020 Tijeras Ave NE
Albuquerque, NM 87106-4749

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://lovelacemedicalgroup.com/services/ear-nose-throat Other Lovelace Health Systems LLC

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN671554PAMDRegistered Nurse
65473NMMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1619644325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 TIJERAS AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 TIJERAS AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064749",
            "telephone_number": "505-727-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKAY",
        "first_name": "JESSICA",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN671554",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "65473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://lovelacemedicalgroup.com/services/ear-nose-throat",
            "affiliation": "Y",
            "endpointDescription": "Office website",
            "affiliationName": "Lovelace Health Systems LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Used to contact office",
            "address_1": "1020 Tijeras Ave NE",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871064749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 30, 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.