Organization Active NPI

Indigo Sun Palliative Care

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Albuquerque, NM
National Provider Identifier
1669285409
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
Legal business name
INDIGO SUN PALLIATIVE CARE
Practice address
4273 Montgomery Blvd NE Ste 110
Albuquerque, NM 87109-6746
Phone
(505) 365-0321
Fax
(505) 520-0131
NPI assigned
Jan 27, 2025
Organization subpart
Yes
Parent organization
THE WILLOW FOUNDATION, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Laura Hollingsworth, RN
Title
Board Member
Phone
(505) 365-0321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QH0002X Primary

Addresses

Primary practice location

4273 Montgomery Blvd NE Ste 110
Albuquerque, NM 87109-6746

Mailing address

4273 Montgomery Blvd NE Ste 110
Albuquerque, NM 87109-6746
Phone (505) 365-0321

National Provider Directory

National Provider Directory
Tax ID family
Indigo Sun Palliative Care2 organizations share this tax ID, including this one
Part of
Indigo Sun Palliative Care

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1669285409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4273 MONTGOMERY BLVD NE STE 110",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871096746",
            "telephone_number": "505-365-0321",
            "fax_number": "505-520-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4273 MONTGOMERY BLVD NE STE 110",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871096746",
            "telephone_number": "505-365-0321",
            "fax_number": "505-520-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIGO SUN PALLIATIVE CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE WILLOW FOUNDATION, INC",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "HOLLINGSWORTH",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "505-365-0321",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jan 27, 2025; 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.