Individual provider Active NPI

Cam Thi Bui

  • Social Worker
  • Albuquerque, NM
National Provider Identifier
1285359703
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SWB-2022-0537 Issued in NM
Practice address
3939 San Pedro Dr NE BLDG B1
Albuquerque, NM 87110-8903
Phone
(505) 440-7600
NPI assigned
Oct 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SWB-2022-0537 NM Primary

Addresses

Primary practice location

3939 San Pedro Dr NE BLDG B1
Albuquerque, NM 87110-8903

Mailing address

1305 San Lorenzo Ave NW
Albuquerque, NM 87107-3427
Phone (505) 440-7600

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

LicenseStateTypeSpecialty
SWB-2022-0537NMMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mending Hearts, LLC CurrentSince Aug 4, 2024 Accepting new patients

Locations

3939 San Pedro Dr NE
Bldg B1
Albuquerque, NM 87110
Phone (505) 440-7600

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.

NPI Registry JSON

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1285359703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 SAN LORENZO AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871073427",
            "telephone_number": "505-440-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 SAN PEDRO DR NE BLDG B1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871108903",
            "telephone_number": "505-440-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUI",
        "first_name": "CAM",
        "middle_name": "THI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "SWB-2022-0537",
            "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 Oct 6, 2022; 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.