Individual provider Active NPI

Piseth Knight, NP

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1063783710
Registry record updated Mar 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
54151 Issued in NM
Practice address
1111 Alameda Blvd NW Ste C
Albuquerque, NM 87114-1953
Phone
(505) 346-3704
Fax
(505) 212-0859
NPI assigned
Jan 25, 2012
Last updated
Mar 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2024

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 54151 NM Primary

Addresses

Primary practice location

1111 Alameda Blvd NW Ste C
Albuquerque, NM 87114-1953

Mailing address

1111 Alameda Blvd NW Ste C
Albuquerque, NM 87114-1953
Phone (505) 346-3704

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
I20190228001489 NM Practitioner - Nurse Practitioner 6608035258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1111 Alameda Blvd NW
Suite C
Albuquerque, NM 87114-1953
Phone (505) 346-3704

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda Acute Care Clinic and Family Medicine LLC Family CurrentSince Feb 2, 2019 Accepting new patients
Nephrology Associates of North Central Florida P a PastSince Jan 4, 2010 Accepting new patients
SKG Heart Center, PLLC PastSince Feb 28, 2024 Accepting new patients

Locations

1111 Alameda Blvd NW
Ste B
Albuquerque, NM 87114
Phone (281) 839-4559

1111 Alameda Blvd NW
Ste C
Albuquerque, NM 87114
Phone (505) 346-3704

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711152000000",
    "number": "1063783710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 ALAMEDA BLVD NW STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871141953",
            "telephone_number": "505-346-3704",
            "fax_number": "505-387-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 ALAMEDA BLVD NW STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871141953",
            "telephone_number": "505-346-3704",
            "fax_number": "505-212-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "PISETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-25",
        "last_updated": "2024-03-23",
        "certification_date": "2024-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "54151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.