Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JUDY LIESVELD CNP
NPI 1295707651
Nurse Practitioner in Gallup, NM

Active since February 01, 2006
2111 COLLEGE DR, REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES, GALLUP, NM 87301(505) 863-1820 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Judy Liesveld Cnp NPPES

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

JUDY LIESVELD CNP (NPI 1295707651) is an individual nurse practitioner in Gallup, New Mexico, licensed in New Mexico (R30234) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1295707651
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJUDY LIESVELDCredential: CNP
Location Address2111 COLLEGE DR, REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICESGallup, NM 87301-5600
Mailing Address1901 Redrock Dr, Rehoboth Mckinley Christian Health Care ServicesGallup, NM 87301-5683 · (505) 863-7000
Sole ProprietorNo
Enumeration DateFebruary 1, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1295707651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NM · R30234
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2111 COLLEGE DR, Gallup, NM 87301

Other Identifiers 6

Medicaid99628NM
OtherPROVP14473NM · Molina
Other10002112NM · Lovelace Health/salud
Other85031326887301A120Champus
Medicaid469066AZ
OtherNM006180NM · Bc/bs

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community Health Worker
2111 COLLEGE DR
GALLUP, NM 87301
Community Health Worker
2111 COLLEGE DR
GALLUP, NM 87301
Social Worker (Clinical)
2111 COLLEGE DR
GALLUP, NM 87301
Occupational Therapist (Pediatrics)
2111 COLLEGE DR
GALLUP, NM 87301
Nurse Practitioner (Family)
2111 COLLEGE DR
GALLUP, NM 87301
Community Health Worker
2111 COLLEGE DR
GALLUP, NM 87301
Case Manager/Care Coordinator
2111 COLLEGE DR
GALLUP, NM 87301
Community Health Worker
2111 COLLEGE DR
GALLUP, NM 87301

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 Judy Liesveld's NPI number?

The NPI number for Judy Liesveld is 1295707651. It was assigned to this individual provider in the NPPES registry on February 1, 2006.

Where is Judy Liesveld located?

Judy Liesveld practices at 2111 College Dr Rehoboth Mckinley Christian Health Care Services, Gallup, NM 87301. The listed phone number is (505) 863-1820.

What is Judy Liesveld's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Judy Liesveld was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.