Organization Active NPI

Northview Family Physicians, PC

  • Family Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1578005484
Registry record updated Dec 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD2013-0554 Issued in NM
Legal business name
NORTHVIEW FAMILY PHYSICIANS, PC
Practice address
8202 Louisiana Blvd NE
Suite a
Albuquerque, NM 87113-2103
Phone
(505) 554-2409
Fax
(505) 554-2876
NPI assigned
Nov 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2016

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

Authorized official

Name
Cheri A Blacksten, MDNPI 1124254586
Title
President
Phone
(505) 554-2409

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD2013-0554 NM Primary

Addresses

Primary practice location

8202 Louisiana Blvd NE
Suite a
Albuquerque, NM 87113-2103

Mailing address

PO Box 10777
Albuquerque, NM 87184-0777
Phone (505) 554-2409

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170110003371 NM Part B Supplier - Clinic/Group Practice 3779864574 Receives reassigned benefits from 2 practitioners
Practice locations: Albuquerque, NM

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2125063Northview Family Physicians PC8202 Louisiana Blvd NE #a, Albuquerque, NM 87113Provider-performed microscopyJan 30, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482796800000",
    "number": "1578005484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10777",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871840777",
            "telephone_number": "505-554-2409",
            "fax_number": "505-554-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8202 LOUISIANA BLVD NE",
            "address_2": "SUITE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871132103",
            "telephone_number": "505-554-2409",
            "fax_number": "505-554-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHVIEW FAMILY PHYSICIANS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-08",
        "last_updated": "2016-12-27",
        "status": "A",
        "authorized_official_last_name": "BLACKSTEN",
        "authorized_official_first_name": "CHERI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-554-2409",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2013-0554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.