Active NPI
Katheryne Anne Barron, N.P.
- Family Nurse Practitioner
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP-03012
- Practice address
- 4705 Montgomery Blvd NE
LMG Gastroenterology Clinic 102
Albuquerque, NM 87109 - Phone
- (505) 727-7833
- Fax
- (505) 727-6944
- NPI assigned
- Mar 8, 2013
- Last updated
- Jan 6, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 17304 | TN | |
| Family Nurse Practitioner | 363LF0000X | CNP-03012 | NM | Primary |
Addresses
Primary practice location
4705 Montgomery Blvd NE
LMG Gastroenterology Clinic 102
Albuquerque, NM 87109
Mailing address
4705 Montgomery Blvd NE
LMG Gastroenterology Clinic 102
Albuquerque, NM 87109
Phone (505) 727-7833
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q000369 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
Bia Route 140
Pinehill, NM 87357-0310
Phone (505) 775-3271
PO Box
Pinehill, NM 87357-0310
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17304 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lovelace Health System, LLC | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Lovelace Health System LLC | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Ramah Navajo School Board, Inc | Current | Accepting new patients | |
| Lovelace Health System LLC | Current | Accepting new patients |
Locations
4701 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 727-2000
4705 Montgomery Blvd NE
Ste 101
Albuquerque, NM 87109
Phone (505) 727-6971
4705 Montgomery Blvd NE
Ste 102
Albuquerque, NM 87109
Phone (505) 727-7833
6100 Pan American East Fwy NE
Ste 100
Albuquerque, NM 87109
Phone (505) 727-6200
715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500
Organizations & group practices 6
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.
-
dba Pine Hill Health Center
- Federally Qualified Health Center (FQHC)
- Pine Hill, NM
- NPI 1619001849
-
- Clinic/Center
- Santa Fe, NM
- NPI 1245798024
-
dba Lovelace Medical Group
- General Practice Physician
- Albuquerque, NM
- NPI 1164491072
-
dba Lovelace Women's Hospital
- Obstetrics Physician
- Albuquerque, NM
- NPI 1811175714
-
- Rural Health Clinic/Center
- Roswell, NM
- NPI 1164137964
-
- Rural Health Clinic/Center
- Roswell, NM
- NPI 1578255253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483660800000",
"number": "1376884759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4705 MONTGOMERY BLVD NE",
"address_2": "LMG GASTROENTEROLOGY CLINIC 102",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87109",
"telephone_number": "505-727-7833",
"fax_number": "505-727-6944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4705 MONTGOMERY BLVD NE",
"address_2": "LMG GASTROENTEROLOGY CLINIC 102",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87109",
"telephone_number": "505-727-7833",
"fax_number": "505-727-6944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRON",
"first_name": "KATHERYNE",
"middle_name": "ANNE",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-08",
"last_updated": "2017-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "17304",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "CNP-03012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q000369",
"state": "TN"
}
],
"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 Jan 6, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.