Active NPI
Leandra Lee Medina, DOM, CFMP
- Family Medicine Physician
- Albuquerque, NM
National Provider Identifier
1831734813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1175
- Practice address
- 7050 Barstow St NE Ste B
Albuquerque, NM 87111-1056 - Phone
- (505) 298-3303
- NPI assigned
- Nov 13, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Clinic/Center | 261QP3300X | 1175 | NM | |
| Family Medicine Physician | 207Q00000X | 1175 | NM | Primary |
Addresses
Primary practice location
7050 Barstow St NE Ste B
Albuquerque, NM 87111-1056
Mailing address
7050 Barstow St NE Ste B
Albuquerque, NM 87111-1056
Phone (505) 298-3303
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | drlee@amethystnm.com | Direct |
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 |
|---|---|---|---|
| 1175 | NM | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573603200000",
"number": "1831734813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7050 BARSTOW ST NE STE B",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871111056",
"telephone_number": "505-298-3303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7050 BARSTOW ST NE STE B",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871111056",
"telephone_number": "505-298-3303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "LEANDRA LEE",
"credential": "DOM, CFMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-13",
"last_updated": "2019-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": "NM",
"license": "1175",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "1175",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "drlee@amethystnm.com",
"affiliation": "N",
"endpointDescription": "business email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "buinesss",
"address_1": "7050 Barstow St NE Ste B",
"city": "Albuquerque",
"state": "NM",
"country_code": "US",
"postal_code": "871111056",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}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 Nov 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.