Active NPI
Lifecare Health Services LLC
- Family Nurse Practitioner
- Santa Fe, NM
National Provider Identifier
1902975436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R27286
- Legal business name
- LIFECARE HEALTH SERVICES LLC
- Practice address
- 130 Siringo Rd
Suite 201
Santa Fe, NM 87505-5863 - Phone
- (505) 989-3236
- Fax
- (505) 989-5079
- NPI assigned
- Nov 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. F. Elaine Montano, CNP
- Title
- Owner
- Phone
- (505) 989-3236
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R27286 | NM | Primary |
Addresses
Primary practice location
130 Siringo Rd
Suite 201
Santa Fe, NM 87505-5863
Mailing address
130 Siringo Rd
Suite 201
Santa Fe, NM 87505-5863
Phone (505) 989-3236
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 48728527 | Medicaid | NM | |
| 1679553457 | Other | NM | PERSONAL NPI |
National Provider Directory
National Provider DirectoryLocations
624 University Ave
Ste 600
Las Vegas, NM 87701
Phone (505) 426-0700
130 Siringo Rd
Ste 201
Santa Fe, NM 87505
Phone (505) 470-1945
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Albuquerque, NM
- NPI 1265815963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1902975436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 SIRINGO RD",
"address_2": "SUITE 201",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875055863",
"telephone_number": "505-989-3236",
"fax_number": "505-989-5079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 SIRINGO RD",
"address_2": "SUITE 201",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875055863",
"telephone_number": "505-989-3236",
"fax_number": "505-989-5079"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFECARE HEALTH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MONTANO",
"authorized_official_first_name": "F.",
"authorized_official_middle_name": "ELAINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "505-989-3236",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "R27286",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "48728527",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL NPI",
"identifier": "1679553457",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, 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.