Active NPI
Darlene Nelle Elliott, CNP
- Family Nurse Practitioner
- Los Lunas, NM
National Provider Identifier
1679509012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP00199
- Practice address
- 200 Emilio Lopez Rd NW
Los Lunas, NM 87031-6818 - Phone
- (505) 866-2700
- Fax
- (505) 866-2737
- NPI assigned
- Jun 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP00199 | NM | Primary |
Addresses
Primary practice location
200 Emilio Lopez Rd NW
Los Lunas, NM 87031-6818
Mailing address
PO Box 26666
Presbyterian Healthcare Services
Albuquerque, NM 87125-6666
Phone (505) 923-6770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000Q7439 | Medicaid | NM |
Other names 1
- Darlene Nelle Shumway
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
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Mexico Oncology Hematology Consultants, LTD. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Hematology & Oncology Physician
- Albuquerque, NM
- NPI 1164475232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441670400000",
"number": "1679509012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26666",
"address_2": "PRESBYTERIAN HEALTHCARE SERVICES",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871256666",
"telephone_number": "505-923-6770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 EMILIO LOPEZ RD NW",
"city": "LOS LUNAS",
"state": "NM",
"postal_code": "870316818",
"telephone_number": "505-866-2700",
"fax_number": "505-866-2737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "DARLENE",
"middle_name": "NELLE",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-25",
"last_updated": "2015-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "CNP00199",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000Q7439",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DARLENE",
"last_name": "SHUMWAY",
"middle_name": "NELLE",
"credential": "CNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Los Lunas, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.