Individual provider Active NPI

Frances Kathleen Lopez-Bushnell, CNP

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1508847567
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R09379 Issued in NM
Practice address
5555 Zuni Rd SE Ste 11
Albuquerque, NM 87108-2935
Phone
(505) 777-3002
NPI assigned
Nov 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R09379 NM Primary

Addresses

Primary practice location

5555 Zuni Rd SE Ste 11
Albuquerque, NM 87108-2935

Mailing address

PO Box 740018
Atlanta, GA 30374-0018
Phone (773) 759-7550

Other practice location 1

4201 Central Ave NW
Ste K3
Albuquerque, NM 87105-1630
Phone (505) 272-1959

Other identifiers 1

IdentifierTypeStateIssuer
75168MedicaidNM

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
I20041213000273 NM Practitioner - Nurse Practitioner 1456318328 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Medical Associates, LLC CurrentSince Nov 1, 2021 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Nov 1, 2021 Accepting new patients
Oak Street Health Physicians Group of New Mexico LLC Family CurrentSince Jan 9, 2023 Accepting new patients
Doorstep Medical Consultants, LLC Past Accepting new patients
DLM Internal Medicine Inc PastSince Dec 28, 2022 Accepting new patients

Locations

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

4208 Central Ave SW
Ste G
Albuquerque, NM 87105
Phone (505) 777-3001

5555 Zuni Rd SE
Ste 11
Albuquerque, NM 87108
Phone (505) 280-6849

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1508847567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740018",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740018",
            "telephone_number": "773-759-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 ZUNI RD SE STE 11",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871082935",
            "telephone_number": "505-777-3002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4201 Central Ave NW",
            "address_2": "Ste K3",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871051630",
            "country_code": "US",
            "telephone_number": "505-272-1959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ-BUSHNELL",
        "first_name": "FRANCES",
        "middle_name": "KATHLEEN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "R09379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "75168",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.