Active NPI
Duke City Healthcare
- Primary Care Clinic/Center
- Albuquerque, NM
National Provider Identifier
1194140277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- MD2004-0125
- Legal business name
- DUKE CITY HEALTHCARE
- Practice address
- 4411 Montano Rd NW
Suite F
Albuquerque, NM 87120-3235 - Phone
- (505) 899-4414
- Fax
- (505) 898-2395
- NPI assigned
- Feb 25, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kristi Fury, CFNP
- Title
- CFNP/Owner
- Phone
- (505) 899-4414
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | MD2004-0125 | NM | Primary |
| Primary Care Clinic/Center | 261QP2300X | CNP01240 | NM |
Addresses
Primary practice location
4411 Montano Rd NW
Suite F
Albuquerque, NM 87120-3235
Mailing address
4411 Montano Rd NW
Suite F
Albuquerque, NM 87120-3235
Phone (505) 899-4414
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467535658 | Other | NM | NPI |
| 43129846 | Medicaid | NM | |
| 202023190 | Other | NM | PRESBYTERIAN |
| 1568482701 | Other | NM | NPI |
| NM006H53 | Other | NM | BLUE CROSS |
| Q76696 | Other | NM | UPIN |
National Provider Directory
National Provider DirectoryLocations
4411 Montano Rd NW
Ste F
Albuquerque, NM 87120
Phone (505) 898-8300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1397001600000",
"number": "1194140277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4411 MONTANO RD NW",
"address_2": "SUITE F",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871203235",
"telephone_number": "505-899-4414",
"fax_number": "505-898-2395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4411 MONTANO RD NW",
"address_2": "SUITE F",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871203235",
"telephone_number": "505-899-4414",
"fax_number": "505-898-2395"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUKE CITY HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-25",
"last_updated": "2014-04-09",
"status": "A",
"authorized_official_last_name": "FURY",
"authorized_official_first_name": "KRISTI",
"authorized_official_title_or_position": "CFNP/OWNER",
"authorized_official_telephone_number": "505-899-4414",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CFNP"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NM",
"license": "MD2004-0125",
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NM",
"license": "CNP01240",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1467535658",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43129846",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN",
"identifier": "202023190",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1568482701",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "NM006H53",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "Q76696",
"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 Apr 9, 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.