Active NPI
Rita Abboud, FNP-C
- Family Nurse Practitioner
- Farmington, NM
National Provider Identifier
1205494366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 56200
- Practice address
- 355 S Miller Ave
Farmington, NM 87401-6463 - Phone
- (505) 327-4461
- NPI assigned
- Jun 4, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 56200 | NM | Primary |
Addresses
Primary practice location
355 S Miller Ave
Farmington, NM 87401-6463
Mailing address
355 S Miller Ave
Farmington, NM 87401-6463
Phone (505) 327-4461
Other practice location 1
355 S Miller Ave
Farmington, NM 87401-6463
Phone (505) 327-4461
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56200 | NM | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565308800000",
"number": "1205494366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 S MILLER AVE",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874016463",
"telephone_number": "505-327-4461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 S MILLER AVE",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874016463",
"telephone_number": "505-327-4461"
}
],
"practiceLocations": [
{
"address_1": "355 S Miller Ave",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "NM",
"postal_code": "874016463",
"country_code": "US",
"telephone_number": "505-327-4461",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABBOUD",
"first_name": "RITA",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-04",
"last_updated": "2019-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "56200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.