Individual provider Active NPI

Elektra Badash, CFNP

  • Family Nurse Practitioner
  • El Rito, NM
National Provider Identifier
1053920587
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
60904 Issued in NM
Practice address
Sr 571 Building #28
El Rito, NM 87530
Phone
(575) 581-4728
NPI assigned
Jul 30, 2020
Last updated
Jul 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 60904 NM Primary

Addresses

Primary practice location

Sr 571 Building #28
El Rito, NM 87530

Mailing address

PO Box 237
El Rito, NM 87530-0237
Phone (575) 581-4728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200811003371 NM Practitioner - Nurse Practitioner 9133545981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

538 N Paseo de Onate
Espanola, NM 87532-2618

PO Box
Suite 237
El Rito, NM 87530

PO Box
Suite 237
El Rito, NM 87530-0237

Sr 571 Building
Suite 28
El Rito, NM 87530

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
60904NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
El Centro Family Health CurrentSince Sep 19, 2022 Accepting new patients
El Centro Family Health CurrentSince Sep 19, 2022 Accepting new patients
El Centro Family Health Past Accepting new patients
El Centro Family Health Past Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients

Locations

111 N Railroad Ave
Espanola, NM 87532
Phone (505) 587-2809

1331 Gusdorf Rd
Taos, NM 87571
Phone (505) 758-9412

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1053920587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 237",
            "city": "EL RITO",
            "state": "NM",
            "postal_code": "875300237",
            "telephone_number": "575-581-4728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SR 571 BUILDING #28",
            "city": "EL RITO",
            "state": "NM",
            "postal_code": "87530",
            "telephone_number": "575-581-4728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADASH",
        "first_name": "ELEKTRA",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "60904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Rito, NM

Sources for this page

Verify at the official NPI Registry.