Active NPI
Indigo Sun Palliative Care
- Hospice and Palliative Medicine (Family Medicine) Physician
- Albuquerque, NM
National Provider Identifier
1669285409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- 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, INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 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 Care
- 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.
-
- Adult Medicine Physician
- Albuquerque, NM
- NPI 1194422832
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.
-
- Mental Illness Community Based Residential Treatment Facility
- Roswell, NM
- NPI 1962720771
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
- Indian Health Service
- Indigo Grove Counseling LLC
- Indigo Midwifery
- Indigo Psychiatric Services
- Indigo Psychotherapy, LLC
- Indigo Therapy Services, Inc.
- Industrial Rehabilitation Clinic, PC
- Infectious Diseases and Internal Medicine
- Infectious Diseases and Internal Medicine Associates P.C.
- Infinite Care LLC
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.