Active NPI
Elizabeth Fogel, APRN-CNP, FNP-BC
- Family Nurse Practitioner
- Albuquerque, NM
National Provider Identifier
1346797453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 65228
- Practice address
- 3129 Casa Bonita Dr NE
Albuquerque, NM 87111-5607 - Phone
- (505) 238-6665
- NPI assigned
- Sep 7, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 65228 | NM | Primary |
Addresses
Primary practice location
3129 Casa Bonita Dr NE
Albuquerque, NM 87111-5607
Mailing address
3129 Casa Bonita Dr NE
Albuquerque, NM 87111-5607
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65228 | NM | MD | Family Nurse Practitioner |
Interoperability endpoints
- elizabeth.fogel.1@30634.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632960000000",
"number": "1346797453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3129 CASA BONITA DR NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871115607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3129 CASA BONITA DR NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871115607",
"telephone_number": "505-238-6665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOGEL",
"first_name": "ELIZABETH",
"credential": "APRN-CNP, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-07",
"last_updated": "2021-09-30",
"certification_date": "2021-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "65228",
"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 30, 2021; 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.