Alameda Acute Care Clinic and Family Medicine LLC

Key facts

NPI: 1508339276
Entity type: Organization (NPI type 2)
Primary specialty: Family Nurse Practitioner 363LF0000X
Legal business name: ALAMEDA ACUTE CARE CLINIC AND FAMILY MEDICINE LLC
Practice address: 1111 Alameda Blvd NW Ste C
Albuquerque, NM 87114-1953
Phone: (505) 346-3704
Fax: (505) 212-0859
NPI assigned: Jan 6, 2019
Organization subpart: No

Authorized official

Name: Piseth Knight, NURSE PRACTITIONER NPI 1063783710
Title: Owner
Phone: (505) 346-3704

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Piseth Knight, NP Family Nurse Practitioner · Albuquerque, NM · NPI 1063783710

Medicare reassignment NPD Authorized official FAMILY · NM

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NM

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20190228000126	NM	Part B Supplier - Clinic/Group Practice	4284973793	Receives reassigned benefits from 1 practitioner Practice locations: Albuquerque, NM

National Provider Directory

Locations

1111 Alameda Blvd NW
Ste C
Albuquerque, NM 87114
Phone (505) 346-3704

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner Group: 193400000X SINGLE SPECIALTY GROUP	363LF0000X			Yes

Addresses

Primary practice location

1111 Alameda Blvd NW Ste C
Albuquerque, NM 87114-1953

Mailing address

1111 Alameda Blvd NW Ste C
Albuquerque, NM 87114-1953
Phone (505) 346-3704

Other names

Alameda Acute Care Clinic and Family Medicine LLC Doing business as

Other providers in Albuquerque, NM

All providers in Albuquerque, NM · Family Nurse Practitioner in New Mexico

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.