Active NPI
Diane Elman
- Psychiatric/Mental Health Nurse Practitioner
- Albuquerque, NM
National Provider Identifier
1144926767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 72600
- Practice address
- 1811 Lead Ave SE Apt 16
Albuquerque, NM 87106-4076 - Phone
- (877) 416-6474
- Fax
- (505) 355-2684
- NPI assigned
- Feb 6, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 72600 | NM | Primary |
Addresses
Primary practice location
1811 Lead Ave SE Apt 16
Albuquerque, NM 87106-4076
Mailing address
1811 Lead Ave SE Apt 16
Albuquerque, NM 87106-4076
Phone (877) 416-6474
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 72600 | Other | NM | STATELICENSE |
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
Enrollment records 1
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)
1811 Lead Ave SE
Apt 16
Albuquerque, NM 87106-4076
211 Dominion Park Dr
Apt 1101
Houston, TX 77090-6719
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72600 | NM | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Legend of Hope Psychiatry LLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
717 Encino Pl NE
Ste 6
Albuquerque, NM 87102
Phone (210) 214-3865
Organizations & group practices 1
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Albuquerque, NM
- NPI 1780573022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772409600000",
"number": "1144926767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1811 LEAD AVE SE APT 16",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064076",
"telephone_number": "877-416-6474",
"fax_number": "505-355-2684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1811 LEAD AVE SE APT 16",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064076",
"telephone_number": "877-416-6474",
"fax_number": "505-355-2684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELMAN",
"first_name": "DIANE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-06",
"last_updated": "2026-03-02",
"certification_date": "2026-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NM",
"license": "72600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATELICENSE",
"identifier": "72600",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.