Lauren Maccoy

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

79755 Issued in NM

Practice address

2050A 2ND St SE
Kirtland AFB, NM 87117-4799

Phone

(058) 463-2005

NPI assigned

Oct 10, 2021

Last updated

Jul 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1633824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1851053540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4532 AGATE HILLS RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145379",
            "telephone_number": "252-367-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050A 2ND ST SE",
            "city": "KIRTLAND AFB",
            "state": "NM",
            "postal_code": "871174799",
            "telephone_number": "058-463-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCOY",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-10",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "79755",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Lavin, PH.D.
• Robert Lewis, LCSW
• Evan Robert Locke, MD
• Robert Joseph Love, D.O.
• Thomas D. Fadell Luna, M.D.
• Shannon Maclean, DO
• Scott Richard Marrs, PH.D
• Louis Mayer II, MS, LAT, ATC
• Consuelo L McCash, LMSW
• Christopher McLaughlin, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Kirtland AFB, NM
• Providers in Kirtland AFB, NM by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.