Organization Active NPI

Elite Prosthetics

Doing business as Cpod

  • Prosthetic/Orthotic Supplier
  • Albuquerque, NM
National Provider Identifier
1740739218
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
ELITE PROSTHETICS
Doing business as
Cpod
Practice address
5095 Ellison St NE
Suite B
Albuquerque, NM 87109-4326
Phone
(505) 550-5290
Fax
(505) 244-0708
NPI assigned
Sep 26, 2016
Last updated
Sep 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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

Authorized official

Name
Ms. Kristen M Lott, NP
Title
Ceo
Phone
(505) 244-0404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

5095 Ellison St NE
Suite B
Albuquerque, NM 87109-4326

Mailing address

5095 Ellison St NE
Suite B
Albuquerque, NM 87109-4326
Phone (505) 550-5290

Other names 1

  • CPOD Doing business as

National Provider Directory

National Provider Directory

Locations

5095 Ellison St NE
Ste B
Albuquerque, NM 87109
Phone (505) 550-5290

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474848000000",
    "number": "1740739218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5095 ELLISON ST NE",
            "address_2": "SUITE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094326",
            "telephone_number": "505-550-5290",
            "fax_number": "505-244-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5095 ELLISON ST NE",
            "address_2": "SUITE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094326",
            "telephone_number": "505-550-5290",
            "fax_number": "505-244-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-26",
        "last_updated": "2016-09-26",
        "status": "A",
        "authorized_official_last_name": "LOTT",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-244-0404",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CPOD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.