Active NPI
Ernestina Lopez, RN-73580
- School Registered Nurse
- Belen, NM
National Provider Identifier
1780005876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- RN-73580
- Practice address
- 520 N Main St
Belen, NM 87002-3720 - Phone
- (505) 966-2207
- NPI assigned
- Dec 17, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | RN-73580 | NM | Primary |
Addresses
Primary practice location
520 N Main St
Belen, NM 87002-3720
Mailing address
PO Box 501
Socorro, NM 87801-0501
Phone (505) 205-7350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 163WS0200X | Other | NM | TAXONOMY NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-73580 | NM | MD | School Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Belen Consolidated Schools | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Local Education Agency (LEA)
- Belen, NM
- NPI 1780778621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387238400000",
"number": "1780005876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 501",
"city": "SOCORRO",
"state": "NM",
"postal_code": "878010501",
"telephone_number": "505-205-7350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 N MAIN ST",
"city": "BELEN",
"state": "NM",
"postal_code": "870023720",
"telephone_number": "505-966-2207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "ERNESTINA",
"credential": "RN-73580",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-17",
"last_updated": "2013-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NM",
"license": "RN-73580",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAXONOMY NUMBER",
"identifier": "163WS0200X",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Belen, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.