Individual provider Active NPI

Amy P Adler, NP

  • Family Nurse Practitioner
  • Santa Fe, NM
National Provider Identifier
1487678181
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
56938 Issued in NM
Practice address
2019 Galisteo St Ste N9A
Santa Fe, NM 87505-2111
Phone
(505) 820-1482
NPI assigned
Jul 26, 2006
Last updated
Jan 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 576412 CA
Family Nurse Practitioner 363LF0000X 56938 NM Primary

Addresses

Primary practice location

2019 Galisteo St Ste N9A
Santa Fe, NM 87505-2111

Mailing address

2019 Galisteo St Ste N9A
Santa Fe, NM 87505-2111
Phone (505) 820-1482

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200617000152 NM Practitioner - Nurse Practitioner 7012961352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Full Circle Healing Family Practice, LLCGroup PAC ID 7618913435, 5 clinicians

Practice addresses (Care Compare)

2019 Galisteo St
Suite N9A
Santa Fe, NM 87505-2111
Phone (505) 820-1482

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
576412CAMDNurse Practitioner
56938NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Full Circle Healing Family Practice, LLC CurrentSince Aug 10, 2022 Accepting new patients
Patrick Okeefe Chiropractic Inc CurrentSince Aug 1, 2022 Accepting new patients

Locations

1421 Luisa St
Ste A
Santa Fe, NM 87505
Phone (505) 820-1482

2019 Galisteo St
Ste N9A
Santa Fe, NM 87505
Phone (505) 820-1482

Interoperability endpoints

  • Direct secure messaging: amy.adler.1@30754.direct.athenahealth.com

Organizations & group practices 2

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1487678181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 GALISTEO ST STE N9A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052111",
            "telephone_number": "505-820-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 GALISTEO ST STE N9A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052111",
            "telephone_number": "505-820-1482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADLER",
        "first_name": "AMY",
        "middle_name": "P",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "576412",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "56938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.