NPIMap

Organization Active NPI

Jenifer Lichtenfels, MD, LLC

  • Pediatrics Physician
  • Las Cruces, NM
National Provider Identifier
1992914501
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
88211 Issued in NM
Legal business name
JENIFER LICHTENFELS, MD, LLC
Practice address
2801 Missouri Ave
Las Cruces, NM 88011-5075
Phone
(505) 521-0630
Fax
(505) 521-0628
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Authorized official

Name
Katrina Marie Ferrales
Title
Credentialing
Phone
(505) 647-8366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 88211 NM Primary

Addresses

Primary practice location

2801 Missouri Ave
Las Cruces, NM 88011-5075

Mailing address

PO Box 1560
Las Cruces, NM 88004-1560
Phone (505) 647-8366

Other identifiers 1

IdentifierTypeStateIssuer
00017053MedicaidNM

Other names 1

  • Pediatrics After Hours 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": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1992914501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1560",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880041560",
            "telephone_number": "505-647-8366",
            "fax_number": "505-647-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 MISSOURI AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115075",
            "telephone_number": "505-521-0630",
            "fax_number": "505-521-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENIFER LICHTENFELS, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "FERRALES",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "505-647-8366"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NM",
            "license": "88211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00017053",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatrics After Hours",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.