Active NPI
Kristi M. Fury, MSN CFNP
- Family Nurse Practitioner
- Albuquerque, NM
National Provider Identifier
1467535658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R50047
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CNP01240 | Other | NM | CNP LICENSE # |
| R50047 | Other | NM | NM BD. OF NURSING LIC. NO |
| CS00212086 | Other | NM | NM 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| R50047 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bernalillo Family Health Clinic, LLC | Past | 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.
-
- Primary Care Clinic/Center
- Albuquerque, NM
- NPI 1801100466
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.