Active NPI
Robert William Adams, MSN, RN, CDCES, CCHW
- Diabetes Educator Registered Nurse
- Albuquerque, NM
National Provider Identifier
1003327685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- 70023
- Practice address
- 4101 Indian School Rd NE
Albuquerque, NM 87110-3988 - Phone
- (505) 256-6718
- Fax
- (505) 256-6844
- NPI assigned
- Oct 23, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | G-1404 | NM | |
| Diabetes Educator Registered Nurse | 163WD0400X | 70023 | NM | Primary |
Addresses
Primary practice location
4101 Indian School Rd NE
Albuquerque, NM 87110-3988
Mailing address
4101 Indian School Rd NE Ste 225
Albuquerque, NM 87110-4072
Phone (505) 256-6718
Other names 1
- Mr. Bill Adams
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70023 | NM | MD | Diabetes Educator Registered Nurse |
| G-1404 | NM | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718668800000",
"number": "1003327685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 INDIAN SCHOOL RD NE STE 225",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871104072",
"telephone_number": "505-256-6718",
"fax_number": "505-256-6844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 INDIAN SCHOOL RD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871103988",
"telephone_number": "505-256-6718",
"fax_number": "505-256-6844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "ROBERT",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "MSN, RN, CDCES, CCHW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-23",
"last_updated": "2024-06-18",
"certification_date": "2024-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NM",
"license": "G-1404",
"primary": false
},
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "NM",
"license": "70023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BILL",
"last_name": "ADAMS",
"prefix": "MR.",
"credential": "MSN, RN, CDCES, CCHW",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.