Organization Active NPI

Duke City Healthcare

  • Primary Care Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1194140277
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
MD2004-0125 Issued in NM
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

Updated by the provider on Apr 9, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1467535658OtherNMNPI
43129846MedicaidNM
202023190OtherNMPRESBYTERIAN
1568482701OtherNMNPI
NM006H53OtherNMBLUE CROSS
Q76696OtherNMUPIN

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.