Organization Active NPI

Leavitt Enterprises

  • Customized Equipment (DME)
  • Albuquerque, NM
National Provider Identifier
1881750677
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
03019401006 Issued in NM
Legal business name
LEAVITT ENTERPRISES
Practice address
4005 Clinton Blvd SW
Albuquerque, NM 87105-6122
Phone
(505) 877-3627
Fax
(505) 877-0627
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Patsy E Leavitt, RN RETIRED
Title
Owner
Phone
(505) 877-3627

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 03019401006 NM Primary

Addresses

Primary practice location

4005 Clinton Blvd SW
Albuquerque, NM 87105-6122

Mailing address

4005 Clinton Blvd SW
Albuquerque, NM 87105-6122
Phone (505) 877-3627

Other names 1

  • Albuquerque Support Systems Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881750677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 CLINTON BLVD SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871056122",
            "telephone_number": "505-877-3627",
            "fax_number": "505-877-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 CLINTON BLVD SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871056122",
            "telephone_number": "505-877-3627",
            "fax_number": "505-877-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAVITT ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEAVITT",
        "authorized_official_first_name": "PATSY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-877-3627",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN RETIRED"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NM",
            "license": "03019401006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Albuquerque Support Systems",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.