Tara Rochelle Kolberg, WHNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

63727 Issued in NM

Practice address

6801 Jefferson St NE Ste 350
Albuquerque, NM 87109-4361

Phone

(505) 847-4100

NPI assigned

Jul 9, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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

• Bosque Womens Care PC

  • Gynecology Physician
  • Albuquerque, NM
  • NPI 1427357920
  NPD (past)

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1124434253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 MENAUL BLVD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071030",
            "telephone_number": "505-249-7592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 JEFFERSON ST NE STE 350",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094361",
            "telephone_number": "505-847-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLBERG",
        "first_name": "TARA",
        "middle_name": "ROCHELLE",
        "name_prefix": "Mrs.",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-09",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NM",
            "license": "63727",
            "primary": true
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "OR",
            "license": "DEM-LD-10163507",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UNMH@direct.health.unm.edu",
            "affiliation": "N",
            "address_1": "2211 Lomas Blvd NE",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871062719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daniele C Kokidajo, LMHC
• Kokopelli East West Integrated Family Walk-in Clinic, LLC
• Oralia N Kolander, BS
• Jessica Kolar, LPCC
• Natasha S Kolb, MD
• Melissa Kolkena, CNM, WHNP-BC
• Deborah Kolkmeyer, M.S, CDE
• Karla Elaine Kollasch, M.S., CCC-SLP
• Susan Koller, M.A., CCC-SLP
• Brooke Kollman, PA-C

• Women's Health Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Women's Health Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.