Individual provider Active NPI

John Fredrick Nama, RN

  • Adult Psychiatric/Mental Health Registered Nurse
  • Albuquerque, NM
National Provider Identifier
1326371394
Registry record updated Sep 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
R42375 Issued in NM
Practice address
622 Manzano St NE
Albuquerque, NM 87110-6302
Phone
(505) 925-4044
Fax
(505) 925-4055
NPI assigned
Sep 9, 2009
Last updated
Sep 9, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X R42375 NM Primary

Addresses

Primary practice location

622 Manzano St NE
Albuquerque, NM 87110-6302

Mailing address

622 Manzano St NE
Albuquerque, NM 87110-6302
Phone (505) 925-4044

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R42375NMMDAdult Psychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Unm Hospital Past Accepting new patients
Unm Hospital Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252454400000",
    "number": "1326371394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 MANZANO ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871106302",
            "telephone_number": "505-925-4044",
            "fax_number": "505-925-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 MANZANO ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871106302",
            "telephone_number": "505-925-4044",
            "fax_number": "505-925-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMA",
        "first_name": "JOHN",
        "middle_name": "FREDRICK",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-09",
        "last_updated": "2009-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NM",
            "license": "R42375",
            "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 Sep 9, 2009; 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.