Individual provider Active NPI

Randy Lenhardt, CNP

  • Nurse Practitioner
  • Deming, NM
National Provider Identifier
1932192820
Registry record updated Aug 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CNP00390 Issued in NM
Practice address
125 Chaparrel Blvd NW
Deming, NM 88030-8629
Phone
(575) 546-4800
Fax
(575) 546-0685
NPI assigned
Aug 25, 2005
Last updated
Aug 1, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R22744 NM
Nurse Practitioner 363L00000X CNP00390 NM Primary

Addresses

Primary practice location

125 Chaparrel Blvd NW
Deming, NM 88030-8629

Mailing address

PO Box 370
Hatch, NM 87937-0370
Phone (575) 267-3280

Other identifiers 1

IdentifierTypeStateIssuer
92676MedicaidNM

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)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP00390NMMDNurse Practitioner
R22744NMMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ben Archer Health Center CurrentSince Nov 1, 2004 Accepting new patients
Ben Archer Health Center CurrentSince Nov 1, 2004 Accepting new patients
Ben Archer Health Center Current Accepting new patients
Ben Archer Health Center PastSince Nov 1, 2004 Accepting new patients
Ben Archer Health Center PastSince Nov 1, 2004 Accepting new patients

Locations

1501 10th St
Alamogordo, NM 88310
Phone (505) 443-8133

1960 N Date St
Truth Or Consequences, NM 87901
Phone (575) 894-7662

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1932192820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "HATCH",
            "state": "NM",
            "postal_code": "879370370",
            "telephone_number": "575-267-3280",
            "fax_number": "575-267-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CHAPARREL BLVD NW",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880308629",
            "telephone_number": "575-546-4800",
            "fax_number": "575-546-0685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENHARDT",
        "first_name": "RANDY",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "R22744",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "CNP00390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92676",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deming, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; 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.