Douglas Ivan Ludington, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP-03395 Issued in NM

Practice address

104 Quail Trail
Unit B
Edgewood, NM 87015

Phone

(505) 208-0204

NPI assigned

Sep 27, 2017

Last updated

May 9, 2019By 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

Enrolled in NM, UT2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

McLeod Medical Centers of NM IncGroup PAC ID 5092075531, 54 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: douglas.ludington.1@27050.direct.athenahealth.com

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.

• McLeod Medical Centers of NM, Inc.

  dba Duke City Primary Care

  • Family Medicine Physician
  • Cedar Crest, NM
  • NPI 1700393782
  Medicare reassignment Care Compare group NPD
• Albuquerque Urgent Care Walk in Clinic PC

  • Urgent Care Clinic/Center
  • Albuquerque, NM
  • NPI 1487167961
  Medicare reassignment NPD
• McLeod Medical Centers of NM, Inc.

  dba Duke City Primary Care

  • Family Medicine Physician
  • Cedar Crest, NM
  • NPI 1215580832
  NPD
• Ludington Primary Care LLC

  dba Ludington Primary Care

  • Primary Care Clinic/Center
  • Lindon, UT
  • NPI 1427868140
  NPD
• Skycloud Psychiatry LLC

  dba Skycloud Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
  • NPI 1104446681
  NPD (past)

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1982113445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12127B HWY 14 N",
            "address_2": "STE 5",
            "city": "CEDAR CREST",
            "state": "NM",
            "postal_code": "870089499",
            "telephone_number": "505-281-5180",
            "fax_number": "505-281-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 QUAIL TRAIL",
            "address_2": "UNIT B",
            "city": "EDGEWOOD",
            "state": "NM",
            "postal_code": "87015",
            "telephone_number": "505-208-0204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Quail Trail",
            "address_2": "Unit B",
            "address_purpose": "LOCATION",
            "city": "Edgewood",
            "state": "NM",
            "postal_code": "87015",
            "country_code": "US",
            "telephone_number": "505-208-0204",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5850 Eubank Blvd NE Ste B32",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "87111",
            "country_code": "US",
            "telephone_number": "505-200-2860",
            "fax_number": "505-916-0208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUDINGTON",
        "first_name": "DOUGLAS",
        "middle_name": "IVAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-27",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-03395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon A Lamoree-Lukasavage, LPCC
• Amber Lampiris-Tremba, DPT
• Julie Suzanne Lindberg, PHARM.D
• Deborah Ann Lucas, LMSW
• Lindsey Lucero, FNP-C
• Caroline Ludwig, PT, DPT
• Judy H. Lui, MD
• Frank Paul Lukasavage, MSW,LISW, LICSW, LAD
• Gavin Lynch, PT, DPT
• Bebe Makena, OTR/L

• Family Nurse Practitioner in Edgewood, NM
• Providers in Edgewood, 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 May 9, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.