Tina T Bui-Burgos, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP01857 Issued in NM

Practice address

85 West Highway 22
Kewa Pueblo Health Corporation
Santo Domingo Pueblo, NM 87052-0340

Phone

(505) 465-3060

Fax

(505) 465-1191

NPI assigned

Oct 21, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Tina H Bui Former name

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

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.

• Kewa Pueblo Health Corporation

  • Community/Behavioral Health Agency
  • Santo Domingo Pueblo, NM
  • NPI 1336659077
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430956800000",
    "number": "1215212246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340",
            "address_2": "KEWA PUEBLO HEALTH CORPORATION",
            "city": "SANTO DOMINGO PUEBLO",
            "state": "NM",
            "postal_code": "870520340",
            "telephone_number": "505-465-3060",
            "fax_number": "505-465-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 WEST HIGHWAY 22",
            "address_2": "KEWA PUEBLO HEALTH CORPORATION",
            "city": "SANTO DOMINGO PUEBLO",
            "state": "NM",
            "postal_code": "870520340",
            "telephone_number": "505-465-3060",
            "fax_number": "505-465-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUI-BURGOS",
        "first_name": "TINA",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-21",
        "last_updated": "2015-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP01857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "BUI",
            "middle_name": "H",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Patricia Baca, RN
• Candace Bekes-Charlie, RN
• Jackie Benally, RN
• Shane Benally, OD
• Theresa Brown-Doonquah, DDS
• Estefanita L. Calabaza
• George Lucas Calabaza
• Luciano Calabaza, LADAC
• Michael Calabaza
• Kanisha Chavez

• Family Nurse Practitioner in Santo Domingo Pueblo, NM
• Providers in Santo Domingo Pueblo, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.