NPIMap

Organization Active NPI

Prebyterian Healthcare Services

  • Family Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1376478016
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PREBYTERIAN HEALTHCARE SERVICES
Practice address
3901 Atrisco Dr NW
Albuquerque, NM 87120-1627
Phone
(505) 462-7575
Fax
(505) 462-7594
NPI assigned
Jun 15, 2026
Last updated
Jun 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Authorized official

Name
Victoria M Carmignani
Title
Regulatory Compliance
Phone
(505) 923-5356

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Internal Medicine Physician 207R00000X

Addresses

Primary practice location

3901 Atrisco Dr NW
Albuquerque, NM 87120-1627

Mailing address

3901 Atrisco Dr NW
Albuquerque, NM 87120-1627
Phone (505) 462-7575

National Provider Directory

National Provider Directory
Tax ID family
Colfax Laboratory69 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1781481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1376478016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 ATRISCO DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201627",
            "telephone_number": "505-462-7575",
            "fax_number": "505-462-7594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 ATRISCO DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201627",
            "telephone_number": "505-462-7575",
            "fax_number": "505-462-7594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREBYTERIAN HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-15",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "CARMIGNANI",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "REGULATORY COMPLIANCE",
        "authorized_official_telephone_number": "505-923-5356"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jun 15, 2026; 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.