Active NPI
LCT Inc
- Certified Registered Nurse Anesthetist
- Espanola, NM
National Provider Identifier
1700871993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- LCT INC
- Practice address
- 1010 Spruce St
Espanola, NM 87532-3456 - Phone
- (505) 753-7111
- NPI assigned
- Sep 14, 2005
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lori Carmen, CRNA
- Title
- President
- Phone
- (505) 747-8639
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | NM | Primary |
Addresses
Primary practice location
1010 Spruce St
Espanola, NM 87532-3456
Mailing address
62002 Nbu20
Espanola, NM 87532-2711
Phone (505) 747-8639
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17104505 | Medicaid | NM | |
| NM026426 | Other | NM | NM BCBS |
| 430074229 | Other | NM | RAILROAD MEDICARE |
| NM006426 | Other | NM | BCBS NM GROUP |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Certified Registered Nurse Anesthetist
- Espanola, NM
- NPI 1740275924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1700871993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62002 NBU20",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "875322711",
"telephone_number": "505-747-8639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 SPRUCE ST",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "875323456",
"telephone_number": "505-753-7111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LCT INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-14",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "CARMEN",
"authorized_official_first_name": "LORI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "505-747-8639",
"authorized_official_credential": "CRNA"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NM",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "17104505",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NM BCBS",
"identifier": "NM026426",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "430074229",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NM GROUP",
"identifier": "NM006426",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Espanola, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.