Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JUDY LIESVELD CNP
NPI 1295707651
Nurse Practitioner in Gallup, NM

Q: 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.

Q: What is Judy Liesveld's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Judy Liesveld was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.

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: August 16, 2026.

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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

Phone(505) 863-1820

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

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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.

ALEXIS P LUCERO CHW

Community Health Worker