Kelli Desmond, CNP
Individual provider Active NPI Family Nurse Practitioner · Albuquerque, NM
NPI 1316580640 · NPPES record last updated Sep 29, 2022
Key facts
- NPI
- 1316580640
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 58106 (NM)
- Practice address
- 201 Cedar St SE Ste 405
Albuquerque, NM 87106-4924 - Phone
- (505) 764-9535
- NPI assigned
- Oct 18, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58106 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perinatal Associates of New Mexico, LTD | Current |
Accepting new patients | |
| Perinatal Associates of New Mexico, LTD | Past |
Accepting new patients |
Locations
201 Cedar St SE
Ste 405
Albuquerque, NM 87106
Phone (505) 764-9535
Interoperability endpoints
- kelli.desmond@panm.directbygreenway.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 58106 | NM | Yes |
Addresses
Primary practice location
201 Cedar St SE Ste 405
Albuquerque, NM 87106-4924
Mailing address
201 Cedar St SE Ste 405
Albuquerque, NM 87106-4924
Phone (505) 764-9535
Other providers in Albuquerque, NM
- Anish Deshmukh
- Nicole S. Deshmukh
- Anne Marie Desiderio
- Designed Mobility LTD
- Chastity Desimone
- Nadine Desormeau
- Desoto Dentistry, LLC
- Brock J Desoto
- Barbara Despain
- Michele Dessalet
All providers in Albuquerque, NM · Family Nurse Practitioner in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.