AUDREY LUJAN (NPI# 1255895090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255895090 |
| Entity Type | Individual |
| Full Name | AUDREY LUJAN |
| Practice Address |
1090 Goat Springs Road Taos NM 87571 |
| Mailing Address |
P O Box 310001-0670 Pasadena CA 91110-0670 |
| Practice Telephone | 5757586966 |
| Practice Fax Number | 5757515210 |
| Mailing Telephone | 5757586966 |
| Mailing Fax Number | 5757515210 |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2019-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
R61659 | NM | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | K3543 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063889715 | Audrey Lujan | Behavior Technician | 1420 Carlisle Blvd Ne, 100, Albuquerque, NM 87110-5660 | 2015-08-28 |
| Street Address |
1090 GOAT SPRINGS ROAD |
| City | TAOS |
| State | NM |
| Zip Code | 87571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871532119 | Brenda J Burdick | Family Medicine | 1090 Goat Springs Road, Taos, NM 87571-1094 | 2006-06-05 |
| 1164022562 | Brock Reed | Registered Nurse | 1090 Goat Springs Road, Taos, NM 87571-1946 | 2020-10-27 |
| 1952865776 | Regina Perryman | Registered Nurse | 1090 Goat Springs Road, Taos, NM 87571 | 2019-01-25 |
| 1285198028 | Debra Wright | Registered Nurse | 1090 Goat Springs Road, Taos, NM 87571 | 2019-01-25 |
| 1275000887 | Erica Diane Medina | Dental Hygienist | 1090 Goat Springs Road, Taos, NM 87571 | 2018-11-01 |
| 1235410515 | Kellie Ann P Goudreau | Physician Assistant | 1090 Goat Springs Road, Taos, NM 87571 | 2011-08-31 |
| 1962712109 | Kirsten Rogoff | Marriage & Family Therapist | 1090 Goat Springs Road, Taos, NM 87571-0174 | 2010-10-20 |
| 1689995953 | Carmine Dimartino | Family Medicine | 1090 Goat Springs Road, Taos, NM 87571 | 2010-06-21 |
| 1689908147 | Talia R. Wood | Dietitian, Registered | 1090 Goat Springs Road, Taos, NM 87571-1946 | 2009-09-30 |
| 1174786925 | Lakitta Monchelle Woods-dwelle | Optometrist | 1090 Goat Springs Road, Taos, NM 87571 | 2008-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174080923 | Veronika Anne Peacetree | Counselor | Vds-taos, 314 Don Fernando Street, Taos, NM 87571 | 2019-02-28 |
| 1043785603 | Lindsey M Schreiber | Counselor | 412 Sipapu Street, Taos, NM 87571 | 2018-10-10 |
| 1881173698 | Mia M Mcmullen | Specialist/Technologist | Enos Garcia Elementary School, 305 Don Fernando St, Taos, NM 87571 | 2018-08-13 |
| 1992225403 | Ted Dimond | Counselor | 525 Salazar Rd, Suite A, Taos, NM 87571 | 2017-06-26 |
| 1467908103 | Jacqueline Danielle Arcand | Social Worker | 250 Shadow Mountain Rd, Taos, NM 87571 | 2016-09-01 |
| 1225487812 | James Lucero | Social Worker | 905 Witt Rd., Taos, NM 87571 | 2016-06-06 |
| 1083098370 | Ellen Durant | Marriage & Family Therapist | 1135 Butterfly Rd, Taos, NM 87571 | 2015-07-16 |
| 1831584192 | Eight Northern Indian Pueblos Council, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1130 Butterfly Rd., Taos, NM 87571 | 2015-04-03 |
| 1790179844 | Eight Northern Indian Pueblos | Substance Abuse Rehabilitation Facility | 1130 Butterfly Road, Taos, NM 87571 | 2015-03-26 |
| 1992106041 | Debbie I Salazar, Lisw Ltd Co | Community/Behavioral Health | 208 Ranchitos Road Unit B, Taos, NM 87571 | 2014-09-09 |
| Find all providers in zip 87571 | ||||
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235203407 | Theresa Maria Dyess | Registered Nurse | 1090 Goat Springs Road, Taos Piculis Indian Health Center, Taos, NM 87571 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154981249 | Mary Ann Pratt | Registered Nurse | 1123 E Green Acres Dr, Hobbs, NM 88240-4727 | 2019-06-19 |
| 1841567690 | Belen Rodriguez Vigil | Registered Nurse | 3200 Silver St., Hms Silver High School Wellness Center, Silver City, NM 88061-7283 | 2011-11-22 |
| 1629307194 | Angie Le'alice Hagan | Registered Nurse | 3331 Del Rey Blvd, Las Cruces, NM 88012 | 2009-12-13 |
| 1720243173 | House of Hearts | Registered Nurse | 2612 Chelwood Park Blvd Ne, Albuquerque, NM 87112-1978 | 2008-07-25 |
| 1821277757 | Michelle Angela Trujillo | Registered Nurse | 8300 Casa Morena Ct Nw, Albuquerque, NM 87120-6501 | 2007-10-27 |
| 1255492559 | Gwendolyn Francille Mccourt | Registered Nurse | 843 San Miguel, Alamogordo, NM 88310-5360 | 2006-12-12 |
| 1598863342 | Annie Rafter | Registered Nurse | 404 Brunn School Rd Bldg C, Santa Fe, NM 87505-1102 | 2006-09-20 |
| 1265448757 | Rosella M Vialpando | Registered Nurse | 3900 E Lohman Ave Ste B, Las Cruces, NM 88011 | 2006-08-01 |
| 1548874811 | Stevi Dominguez | Registered Nurse | 1321 E Poplar St, Deming, NM 88030-4807 | 2020-09-03 |
| 1386252583 | Michael J Ashlock | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-07-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.