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PEGGY ICKES FNP-BC
NPI 1255681474
Nurse Practitioner - Family in Los Alamos, NM

Active since September 14, 2012
1445 35TH ST, LOS ALAMOS, NM 87544(505) 660-0317 Get Directions Write a Review

NPPES record last updated: September 14, 2012. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Peggy Ickes Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEGGY ICKES FNP-BC (NPI 1255681474) is an individual family provider in Los Alamos, New Mexico, licensed in New Mexico (CNP-02030) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1255681474
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePEGGY ICKESCredential: FNP-BC
Location Address1445 35TH STLos Alamos, NM 87544-2107
Mailing Address1445 35th StLos Alamos, NM 87544-2107 · (505) 660-0317
Phone(505) 660-0317
Sole ProprietorNo
Enumeration DateSeptember 14, 2012
✔ NPI 1255681474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NM · CNP-02030
1445 35TH ST, Los Alamos, NM 87544
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peggy Ickes's NPI number?

The NPI number for Peggy Ickes is 1255681474. It was assigned to this individual provider in the NPPES registry on September 14, 2012.

Where is Peggy Ickes located?

Peggy Ickes practices at 1445 35th St, Los Alamos, NM 87544. The listed phone number is (505) 660-0317.

What is Peggy Ickes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Peggy Ickes was last updated on September 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.