Mary Ellen Lopez, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R44765 Issued in NM

Practice address

531 Harkle Rd Ste B
Santa Fe, NM 87505-4753

Phone

(505) 954-1459

Fax

(505) 780-8578

NPI assigned

Mar 9, 2006

Last updated

Mar 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

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.

• Aspen Medical Group LLC

  • Urgent Care Clinic/Center
  • Santa Fe, NM
  • NPI 1740533967
  Medicare reassignment NPD
• Mariposa Health & Beauty Spa

  • Nurse Practitioner
  • Santa Fe, NM
  • NPI 1013643410
  NPD
• Grasshopper Natural Medicine

  dba Mountain Spirit Integrative Medicine

  • Primary Care Nurse Practitioner
  • Santa Fe, NM
  • NPI 1194908277
  NPD (past)

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1659349298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 HARKLE RD STE B",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054753",
            "telephone_number": "505-954-1459",
            "fax_number": "505-466-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 HARKLE RD STE B",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054753",
            "telephone_number": "505-954-1459",
            "fax_number": "505-780-8578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "R44765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly M Lopez, FNP
• Kristal Lopez
• Leon David Lopez, MBA, LMSW
• Leonora Jeanette Lopez, MD
• Mar Alejandra Lopez
• Ramona Lopez
• Robert Lopez
• Timothy M Lopez, MD
• Adam Lord, P-LMSW
• Laurel Lord, LCSW

• Nurse Practitioner in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.