Advanced Diabetes Care, LLC.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

ADVANCED DIABETES CARE, LLC.

Practice address

3 Gringo Gulch Rd
Placitas, NM 87043-8721

Phone

(505) 881-4648

Fax

(505) 881-4694

NPI assigned

Nov 29, 2010

Last updated

Sep 29, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Julie D KrawchuckNPI 1003983800

Title

Owner/CFNP

Phone

(505) 881-4648

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julie D Krawchuck, CFNP

  • Family Nurse Practitioner
  • Albuquerque, NM
  • NPI 1003983800
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790640000000",
    "number": "1366744229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11024 MONTGOMERY BLVD NE # 253",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113962",
            "telephone_number": "505-881-4648",
            "fax_number": "505-881-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 GRINGO GULCH RD",
            "city": "PLACITAS",
            "state": "NM",
            "postal_code": "870438721",
            "telephone_number": "505-881-4648",
            "fax_number": "505-881-4694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DIABETES CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-29",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A",
        "authorized_official_last_name": "KRAWCHUCK",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/CFNP",
        "authorized_official_telephone_number": "505-881-4648"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21682364",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Placitas, NM
• Providers in Placitas, NM by specialty
• Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.