Luna Community College

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

LUNA COMMUNITY COLLEGE

Practice address

366 Luna Dr
Las Vegas, NM 87701-9838

Phone

(505) 454-2500

NPI assigned

Jun 12, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Donna Flores-Medina

Title

Cfo

Phone

(505) 454-5328

Specialties & licenses 1

Addresses

Tax ID family

Luna Community College2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Luna Community College

  • Early Intervention Provider Agency
  • Las Vegas, NM
  • NPI 1508143868
  NPD tax ID

Locations

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244764800000",
    "number": "1689801060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 LUNA DR",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877019838",
            "telephone_number": "505-454-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 LUNA DR",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877019838",
            "telephone_number": "505-454-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA COMMUNITY COLLEGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-12",
        "last_updated": "2009-06-12",
        "status": "A",
        "authorized_official_last_name": "FLORES-MEDINA",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "505-454-5328",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aleene Ludi, LMSW
• Bernadette J Lujan, DOM
• Elizabeth Lujan
• Stephanie Lujan, LPN
• Luna Community College
• Gary Aaron Luna, LISW
• Mia H Lundergan, MA CCC SLP
• M Eileen Madrid, M.D.
• Tanya Madrid
• Keith Maes

• Community Health Worker in Las Vegas, NM
• Providers in Las Vegas, NM by specialty
• Community Health Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2009; 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.