Active NPI
Rance Irvin
- Registered Nurse
- Los Lunas, NM
National Provider Identifier
1801395140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN-79851
- Practice address
- 119 Luna St SE
Los Lunas, NM 87031-6814 - Phone
- (505) 865-9636
- NPI assigned
- Feb 1, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN-79851 | NM | Primary |
Addresses
Primary practice location
119 Luna St SE
Los Lunas, NM 87031-6814
Mailing address
10420 Manzanillo Ave NE
Albuquerque, NM 87111-1725
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-79851 | NM | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517443200000",
"number": "1801395140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10420 MANZANILLO AVE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871111725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 LUNA ST SE",
"city": "LOS LUNAS",
"state": "NM",
"postal_code": "870316814",
"telephone_number": "505-865-9636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRVIN",
"first_name": "RANCE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-01",
"last_updated": "2018-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NM",
"license": "RN-79851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Lunas, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.