Annette J Licht, RN

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

R44145 Issued in NM

Practice address

2600 Marble NE
Albuquerque, NM 87131-0001

Phone

(505) 272-3602

NPI assigned

Nov 18, 2005

Last updated

Sep 14, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252886400000",
    "number": "1487636973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 22ND AVE SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241685",
            "telephone_number": "505-891-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 MARBLE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871310001",
            "telephone_number": "505-272-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICHT",
        "first_name": "ANNETTE",
        "middle_name": "J",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2009-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NM",
            "license": "R44145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "R44145",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Liberty New Mexico Partners 1, LLC (Liberty Dialysis - Albuquerque)
• Liberty New Mexico Partners 2, LLC (Liberty Dialysis - Rio Rancho)
• Emilie Gail Libson, AA-C
• Jorge Licano, MD
• Rosanne Marie Licata, LPC
• Kristin Lichtle, LPCC
• Abraham Lichtmacher, MD
• Heather Rosa Licini
• Vanessa D Licona Sanjuan, MD
• Jonas Lieb

• Adult Psychiatric/Mental Health Registered Nurse in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Adult Psychiatric/Mental Health Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; 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.