Individual provider Active NPI

Francesca Michelle Russo-Goforth, DC

  • Chiropractor
  • Albuquerque, NM
National Provider Identifier
1285660407
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1413 Issued in NM
Practice address
2730 San Pedro NE
Suite a
Albuquerque, NM 87110-3365
Phone
(505) 881-0650
Fax
(505) 881-0647
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1413 NM Primary

Addresses

Primary practice location

2730 San Pedro NE
Suite a
Albuquerque, NM 87110-3365

Mailing address

2730 San Pedro NE
Suite a
Albuquerque, NM 87110-3365
Phone (505) 881-0650

Other identifiers 1

IdentifierTypeStateIssuer
NM00KJ05OtherNMBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060320000492 NM Practitioner - Chiropractic 3870516776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2730 San Pedro Dr NE
Suite a
Albuquerque, NM 87110-3365

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1413NMMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Orthogonal Chiropractic of Albuquerque LLC Chiropractor CurrentSince Dec 27, 2009 Accepting new patients

Locations

2730 San Pedro Dr NE
Ste A
Albuquerque, NM 87110
Phone (505) 881-0650

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258329600000",
    "number": "1285660407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 SAN PEDRO NE",
            "address_2": "SUITE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103365",
            "telephone_number": "505-881-0650",
            "fax_number": "505-881-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 SAN PEDRO NE",
            "address_2": "SUITE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103365",
            "telephone_number": "505-881-0650",
            "fax_number": "505-881-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO-GOFORTH",
        "first_name": "FRANCESCA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2009-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "NM00KJ05",
            "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 Nov 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.