Jacquelyn Louise Lardie, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP-01544 Issued in NM

Practice address

2420 W. Pierce St
Ste. 103
Carlsbad, NM 88220

Phone

(575) 628-5051

Fax

(575) 628-0493

NPI assigned

Jun 19, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Pecos Valley of New Mexico, LLC

  • General Practice Physician
  • Carlsbad, NM
  • NPI 1972569820
  NPD (past)

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

{
    "created_epoch": "1119139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267660800000",
    "number": "1750386405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 N. MAPLE STREET",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "88220",
            "telephone_number": "575-628-0927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 W. PIERCE ST",
            "address_2": "STE. 103",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "88220",
            "telephone_number": "575-628-5051",
            "fax_number": "575-628-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARDIE",
        "first_name": "JACQUELYN",
        "middle_name": "LOUISE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-19",
        "last_updated": "2010-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704242886",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-01544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01500759",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Landolt, PHARMD
• Patricia L Landreth, FNP
• Landsun Homes Inc
• Danielle Langdon
• Victoria Lara
• Kim P Lark, D.O.
• Las Cruces HB Medical Services LLC
• Ronald Laughlin
• Kerry J Lawson
• John Leak, PA

• Family Nurse Practitioner in Carlsbad, NM
• Providers in Carlsbad, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; 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.