Kristin Roselena Lucero, PT, DPT, LMT, NTS

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

4527 Issued in NM

Practice address

901 Douglas Ave
Las Vegas, NM 87701-3928

Phone

(505) 454-5719

NPI assigned

Oct 7, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1821491630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 GIRARD BLVD SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062234",
            "telephone_number": "518-409-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 DOUGLAS AVE",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877013928",
            "telephone_number": "505-454-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCERO",
        "first_name": "KRISTIN",
        "middle_name": "ROSELENA",
        "name_prefix": "Miss",
        "credential": "PT, DPT, LMT, NTS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-07",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NM",
            "license": "4527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anjanette Lucero, CHW
• Chelsea Renee Lucero, MS LPCC
• Eloisa M Lucero
• Jessica L Lucero, CHW
• Kevin L Lucero
• Leonard Lucero
• Lonnie C Lucero
• Loralie Lucero, LBSW
• Lorraine Lucero
• Raquel Lucero

• Pediatric Physical Therapist in Las Vegas, NM
• Providers in Las Vegas, NM by specialty
• Pediatric Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.