Individual provider Active NPI

Kelly Joelle Tafoya-Dominguez, FNP-BC

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1437040235
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-202633 Issued in AL
Practice address
9101 High Assets Way NW Ste 8
Albuquerque, NM 87120-5115
Phone
(505) 261-3050
NPI assigned
Jul 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-202633 AL Primary

Addresses

Primary practice location

9101 High Assets Way NW Ste 8
Albuquerque, NM 87120-5115

Mailing address

9101 High Assets Way NW Ste 8
Albuquerque, NM 87120-5115
Phone (505) 261-3050

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

State licenses

LicenseStateTypeSpecialty
1-202633ALMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1752105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1437040235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 HIGH ASSETS WAY NW STE 8",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871205115",
            "telephone_number": "505-261-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 HIGH ASSETS WAY NW STE 8",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871205115",
            "telephone_number": "505-261-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAFOYA-DOMINGUEZ",
        "first_name": "KELLY",
        "middle_name": "JOELLE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-202633",
            "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 10, 2025; 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.