Anita Velasco, ACNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

CNP01587 Issued in NM

Practice address

4208 Central Ave SW Ste G
Albuquerque, NM 87105-1695

Phone

(505) 777-3001

Fax

(505) 808-4977

NPI assigned

Jan 21, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Miss Anita M Lucero Former name

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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

• Lovelace Urgent Care, LLC

  dba Lovelace Urgent Care

  • Urgent Care Clinic/Center
  • Albuquerque, NM
  • NPI 1932911351
  Medicare reassignment NPD
• Oak Street Health Physicians Group of New Mexico LLC

  • Primary Care Clinic/Center
  • Albuquerque, NM
  • NPI 1134793151
  Medicare reassignment NPD
• Nextcare New Mexico LLC

  dba NextCare Urgent Care

  • Urgent Care Clinic/Center
  • Albuquerque, NM
  • NPI 1619300118
  NPD (past)
• DLM Internal Medicine Inc

  • Internal Medicine Physician
  • Barboursville, WV
  • NPI 1942546361
  NPD (past)

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1932430501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740018",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740018",
            "telephone_number": "312-773-9730",
            "fax_number": "773-866-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4208 CENTRAL AVE SW STE G",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871051695",
            "telephone_number": "505-777-3001",
            "fax_number": "505-808-4977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2211 Lomas Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871062745",
            "country_code": "US",
            "telephone_number": "505-272-2411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5555 Zuni Rd SE Ste 11",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871082935",
            "country_code": "US",
            "telephone_number": "505-777-3002",
            "fax_number": "505-521-5189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1625 Rio Bravo Blvd SW Ste 36",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871056060",
            "country_code": "US",
            "telephone_number": "505-777-3004",
            "fax_number": "505-808-4990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 Montano Rd NW Ste A1",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871075200",
            "country_code": "US",
            "telephone_number": "505-777-3003",
            "fax_number": "505-808-4976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELASCO",
        "first_name": "ANITA",
        "name_prefix": "Mrs.",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-21",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "NM",
            "license": "R31406",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NM",
            "license": "01587",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NM",
            "license": "CNP01587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANITA",
            "last_name": "LUCERO",
            "middle_name": "M",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heather Ewing Veitch, CNM
• Christine Eileen Vela, CPSW, LSAA
• Ricky Franco Vela
• Nina Amanda Velarde, LMSW
• Vincent Velarde
• Dhyana Velasco, M.D.
• Elena C Velasco, LMSW
• Erika V Velasco, MOT
• Marisol Isabel Velasquez de West, MSW
• Adrian Fermin Velasquez

• Acute Care Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Acute Care Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.