Beewell Medical Center

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

BEEWELL MEDICAL CENTER

Practice address

4201 Carlisle Blvd NE # C
Albuquerque, NM 87107-4808

Phone

(505) 544-2366

Fax

(505) 581-6988

NPI assigned

Dec 25, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kontasha Shamika WiseNPI 1679850044

Title

CNP, Pmhnp-BC

Phone

(505) 554-8315

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kontasha Shamika Wise, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Albuquerque, NM
  • NPI 1679850044
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1608854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752710400000",
    "number": "1033706924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8226 MENAUL BLVD NE # 144",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104614",
            "telephone_number": "505-544-2366",
            "fax_number": "505-581-6988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 CARLISLE BLVD NE # C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074808",
            "telephone_number": "505-544-2366",
            "fax_number": "505-581-6988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEEWELL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-25",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "KONTASHA",
        "authorized_official_middle_name": "SHAMIKA",
        "authorized_official_title_or_position": "CNP, PMHNP-BC",
        "authorized_official_telephone_number": "505-554-8315"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06929753",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Curtis Beeman
• John T Beemer, CPSW
• Renea Been
• Beep-Beep Express LLC
• Joanna Beets
• Mirza Moazam Beg, M.D
• Lynn Marie Begalla, CRNA
• Beth J Begay, MD
• Deidre Priscilla Begay
• Desbah Begay

• Multi-Specialty Clinic/Center in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Multi-Specialty Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.