Active NPI
Everardo Garcia, MSN, APRN, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Albuquerque, NM
National Provider Identifier
1154868420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95008494
- Practice address
- 4801 Lang Ave NE Ste 110
Albuquerque, NM 87109-4475 - Phone
- (505) 393-7493
- Fax
- (330) 578-7877
- NPI assigned
- Jan 25, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95022888 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95008494 | CA | Primary |
Addresses
Primary practice location
4801 Lang Ave NE Ste 110
Albuquerque, NM 87109-4475
Mailing address
4801 Lang Ave NE Ste 110
Albuquerque, NM 87109-4475
Phone (505) 551-1994
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95022888 | CA | MD | Registered Nurse |
| 95008494 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hyperreal Consulting Services, LLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
4801 Lang Ave NE
Ste 110
Albuquerque, NM 87109
Phone (505) 633-3183
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 1780214056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676937600000",
"number": "1154868420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 LANG AVE NE STE 110",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094475",
"telephone_number": "505-551-1994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 LANG AVE NE STE 110",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094475",
"telephone_number": "505-393-7493",
"fax_number": "330-578-7877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "EVERARDO",
"name_prefix": "Mr.",
"credential": "MSN, APRN, PMHNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-25",
"last_updated": "2023-02-21",
"certification_date": "2023-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95022888",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95008494",
"primary": true
}
],
"identifiers": [],
"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 Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.