NPIMap

Individual provider Active NPI

Laura Sproston Jaquez, M.D.

  • Family Medicine Physician
  • Farmington, NM
National Provider Identifier
1699790881
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2001-314 Issued in NM
Practice address
2130 Farmington Ave Ste a
Farmington, NM 87401
Phone
(505) 325-2323
Fax
(505) 325-7172
NPI assigned
Jul 12, 2006
Last updated
Oct 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2001-314 NM Primary

Addresses

Primary practice location

2130 Farmington Ave Ste a
Farmington, NM 87401

Mailing address

2130 Farmington Ave Ste a
Farmington, NM 87401-2123
Phone (505) 325-2323

Other practice location 1

2130 Farmington Ave Ste A
Farmington, NM 87401
Phone (505) 325-2323

Other identifiers 1

IdentifierTypeStateIssuer
24906255MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120223000737 NM Practitioner - Family PracticePractitioner - General Practice 4284892100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice
Education
Baylor College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mesa Family Practice PCGroup PAC ID 1153312970, 5 clinicians

Practice addresses (Care Compare)

2130 Farmington Ave
Suite a
Farmington, NM 87401-2123
Phone (505) 325-2323

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.22 of 100Reported as individual
Quality
85.72
Improvement activities
40
Cost
73.1

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2001-314NMMDFamily Medicine Physician

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1699790881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 FARMINGTON AVE STE A",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874012123",
            "telephone_number": "505-325-2323",
            "fax_number": "505-325-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 FARMINGTON AVE STE A",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "87401",
            "telephone_number": "505-325-2323",
            "fax_number": "505-325-7172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2130 Farmington Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NM",
            "postal_code": "87401",
            "country_code": "US",
            "telephone_number": "505-325-2323",
            "fax_number": "505-325-7172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAQUEZ",
        "first_name": "LAURA",
        "middle_name": "SPROSTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "2001-314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24906255",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

Verify at the official NPI Registry.