Theresa Ann Kuracina, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

092 Issued in NM

Practice address

801 Vassar Dr NE
Albuquerque, NM 87106-2725

Phone

(505) 248-7619

Fax

(505) 248-7698

NPI assigned

Nov 28, 2006

Last updated

Jun 24, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pueblo of Jemez

  • Clinic/Center
  • Jemez Pueblo, NM
  • NPI 1417082215
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1144396599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 VASSAR DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062725",
            "telephone_number": "505-248-7619",
            "fax_number": "505-248-7698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 VASSAR DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062725",
            "telephone_number": "505-248-7619",
            "fax_number": "505-248-7698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURACINA",
        "first_name": "THERESA",
        "middle_name": "ANN",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NM",
            "license": "092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14909367",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacey Ella Kuntz
• Ana Victoria Kuny, PH.D.
• Abby B Kunz, MD
• Geoffrey A Kunz, MD
• Lawrence Kuo, M.D.
• Mackenzie Kurosky
• Karen D Kurowski, THERAPIST
• Angela S Kurth, PHARM D
• Jonathan Kurtyka, PH.D.
• Leslie P Kurtz, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.