Larry Alonso, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R54136 Issued in NM

Practice address

Acoma-Acoma-Laguna Hospital
Exit 102 Off Hwy I-40
San Fidel, NM 87049

Phone

(505) 831-6300

NPI assigned

Jul 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Acoma-Canoncito-Laguna Indian Health Center

  • Health Service Clinic/Center
  • Acoma, NM
  • NPI 1225103922
  NPD (past)
• Haaku Health

  • Health Service Clinic/Center
  • San Fidel, NM
  • NPI 1962384438
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861414914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10221 GREEN RIVER PL NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871143966",
            "telephone_number": "505-977-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ACOMA-ACOMA-LAGUNA HOSPITAL",
            "address_2": "EXIT 102 OFF HWY I-40",
            "city": "SAN FIDEL",
            "state": "NM",
            "postal_code": "87049",
            "telephone_number": "505-831-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALONSO",
        "first_name": "LARRY",
        "name_prefix": "Mr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "R54136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Acoma Canoncito Laguna Indian (DHHS Usphs Indian Health Services)
• Michael Christopher Barrett
• Thomas Barton
• Robert B Bowlin
• Canoncito Community Clinic
• Vicky J Chee, PA C

• Family Nurse Practitioner in San Fidel, NM
• Providers in San Fidel, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.