Kim Brissette, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN-71188 Issued in NM

Practice address

4055 Montgomery Blvd NE
Ste. B.
Albuquerque, NM 87109-1178

Phone

(505) 884-4464

Fax

(505) 884-0054

NPI assigned

Jul 16, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279238400000",
    "number": "1124331319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 MONTGOMERY BLVD NE",
            "address_2": "STE. B.",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091178",
            "telephone_number": "505-884-4464",
            "fax_number": "505-884-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 MONTGOMERY BLVD NE",
            "address_2": "STE. B.",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091178",
            "telephone_number": "505-884-4464",
            "fax_number": "505-884-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISSETTE",
        "first_name": "KIM",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-16",
        "last_updated": "2010-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "RN-71188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonya Juanita Briones-Parks, LPCC
• Stephanie A Briones, MD
• Marisol Selena Brionez-Wooster
• Anita Briscoe, APRN-BC
• Heather C Brislen, M.D.
• Jesse Brissey- Cohen
• Bristol Hospice - New Mexico, LLC
• Yelina Brito Elizardez, PA
• Dominic Brito, FNP-C
• Phillip Brito

• Registered Nurse in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.