Individual provider Active NPI

Kristi M. Fury, MSN CFNP

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1467535658
Registry record updated Jun 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R50047 Issued in NM
Practice address
4411 Montano Rd NW
Suite F
Albuquerque, NM 87120-3235
Phone
(505) 899-4414
Fax
(505) 898-2395
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2017

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 R50047 NM Primary

Addresses

Primary practice location

4411 Montano Rd NW
Suite F
Albuquerque, NM 87120-3235

Mailing address

4411 Montano Rd NW
Suite F
Albuquerque, NM 87120-3235
Phone (505) 899-4414

Other identifiers 3

IdentifierTypeStateIssuer
CNP01240OtherNMCNP LICENSE #
R50047OtherNMNM BD. OF NURSING LIC. NO
CS00212086OtherNMNM BD. OF PHARMACY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2018 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R50047NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bernalillo Family Health Clinic, LLC PastSince Aug 9, 2010 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497312000000",
    "number": "1467535658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 MONTANO RD NW",
            "address_2": "SUITE F",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871203235",
            "telephone_number": "505-899-4414",
            "fax_number": "505-898-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 MONTANO RD NW",
            "address_2": "SUITE F",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871203235",
            "telephone_number": "505-899-4414",
            "fax_number": "505-898-2395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURY",
        "first_name": "KRISTI",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "MSN CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2017-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "R50047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNP LICENSE #",
            "identifier": "CNP01240",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM BD. OF NURSING LIC. NO",
            "identifier": "R50047",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM BD. OF PHARMACY",
            "identifier": "CS00212086",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.