Active NPI
Eugene E Kimzey, R.N.
- Addiction (Substance Use Disorder) Registered Nurse
- Albuquerque, NM
National Provider Identifier
1427264316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Registered Nurse
- License
- R21303
- Practice address
- 5901 Zuni Rd SE
Albuquerque, NM 87108-3073 - Phone
- (505) 841-8978
- NPI assigned
- May 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | R21303 | NM | Primary |
Addresses
Primary practice location
5901 Zuni Rd SE
Albuquerque, NM 87108-3073
Mailing address
933 La Luz Dr NW
Albuquerque, NM 87107-3544
Phone (505) 344-6490
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
| License | State | Type | Specialty |
|---|---|---|---|
| R21303 | NM | MD | Addiction (Substance Use Disorder) Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427264316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "933 LA LUZ DR NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871073544",
"telephone_number": "505-344-6490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 ZUNI RD SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871083073",
"telephone_number": "505-841-8978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMZEY",
"first_name": "EUGENE",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "NM",
"license": "R21303",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.