Individual provider Active NPI

Lucinda Wood

  • Family Nurse Practitioner
  • Tularosa, NM
National Provider Identifier
1669950804
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53431 Issued in NM
Practice address
111 Central Ave
Tularosa, NM 88352
Phone
(575) 585-1250
NPI assigned
Jul 31, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53431 NM Primary

Addresses

Primary practice location

111 Central Ave
Tularosa, NM 88352

Mailing address

504 Sunset Ave
Alamogordo, NM 88310-4149
Phone (575) 921-6754

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180925002757 NM Practitioner - Nurse Practitioner 3274884515 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Otero County Hospital AssociationGroup PAC ID 3173516606, 245 clinicians

Practice addresses (Care Compare)

2669 Scenic Dr
Alamogordo, NM 88310-8700
Phone (505) 439-6100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Medical Services Current Accepting new patients
Four Corners Emergency Physicians PLLC CurrentSince Nov 3, 2023 Accepting new patients
Otero County Hospital Association CurrentSince Jan 1, 2023 Accepting new patients
Western Mountain Hospital Physicians PLLC CurrentSince Mar 5, 2024 Accepting new patients
Presbyterian Medical Services CurrentSince Aug 6, 2018 Accepting new patients
Otero County Hospital Association CurrentSince Jan 1, 2023 Accepting new patients
Presbyterian Medical Services CurrentSince Aug 6, 2018 Accepting new patients

Locations

2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100

1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565

111 Central Ave
Tularosa, NM 88352
Phone (505) 585-1250

1602 Avenue Q
Lubbock, TX 79401
Phone (469) 809-6712

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1669950804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 SUNSET AVE",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883104149",
            "telephone_number": "575-921-6754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CENTRAL AVE",
            "city": "TULAROSA",
            "state": "NM",
            "postal_code": "88352",
            "telephone_number": "575-585-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "LUCINDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "53431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tularosa, NM

Sources for this page

Verify at the official NPI Registry.