Active NPI
Patricia A Drey, CNP
- Psychiatric/Mental Health Nurse Practitioner
- Tijeras, NM
National Provider Identifier
1013331552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- CNP-02304
- Practice address
- 54 Easy St
Tijeras, NM 87059-8002 - Phone
- (505) 620-1733
- NPI assigned
- Feb 4, 2014
- Last updated
- Jul 1, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CNP-02304 | NM | Primary |
Addresses
Primary practice location
54 Easy St
Tijeras, NM 87059-8002
Mailing address
54 Easy St
Tijeras, NM 87059-8002
Phone (505) 620-1733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CNP-02304 | Other | NM | CNP LICENSE |
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)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP-02304 | NM | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561939200000",
"number": "1013331552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 EASY ST",
"city": "TIJERAS",
"state": "NM",
"postal_code": "870598002",
"telephone_number": "505-620-1733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 EASY ST",
"city": "TIJERAS",
"state": "NM",
"postal_code": "870598002",
"telephone_number": "505-620-1733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DREY",
"first_name": "PATRICIA",
"middle_name": "A",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-04",
"last_updated": "2019-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NM",
"license": "CNP-02304",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CNP LICENSE",
"identifier": "CNP-02304",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tijeras, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.