Kathy Rebecca Fresquez-Chavez, C.F.N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R37352 Issued in NM

Practice address

328 Main St NE
Los Lunas, NM 87031-7454

Phone

(505) 916-5167

Fax

(505) 916-5170

NPI assigned

Aug 1, 2006

Sex

Female

Sole proprietor

Yes

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

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

Specialty

Nurse Practitioner

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bella Vida Health Care and Medi SpaGroup PAC ID 6507092327, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kfc@bvhc-nm.direct.office.nextgen.com
• Direct secure messaging: kchavez7332@ahs.direct-ci.com

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.

• Bella Vida Health Care and Medi Spa

  • Health Service Clinic/Center
  • Los Lunas, NM
  • NPI 1568704237
  Medicare reassignment Care Compare group
• High Plains Medical, Inc.

  • Family Medicine Physician
  • Moriarty, NM
  • NPI 1528074390
  NPD (past)
• Valencia Family Medicine & Express Care

  • Primary Care Nurse Practitioner
  • Los Lunas, NM
  • NPI 1023255510
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1497762983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 486",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870310486",
            "telephone_number": "505-916-5167",
            "fax_number": "505-916-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 MAIN ST NE",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870317454",
            "telephone_number": "505-916-5167",
            "fax_number": "505-916-5170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRESQUEZ-CHAVEZ",
        "first_name": "KATHY",
        "middle_name": "REBECCA",
        "credential": "C.F.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "R37352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84304235",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ramiro Antonio Flores
• Four13 Therapy Services, LLC
• Bobbi Jean Frady, MC,LADAC
• Amy Franco
• Free Indeed
• Catherine Teresa Fresquez, MD
• Susan Frost, PSR
• Full Circle Recovery
• Melanie S. Furry, LMHC
• Denise Gabaldon, PHARM.D

• Family Nurse Practitioner in Los Lunas, NM
• Providers in Los Lunas, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.