Pure Healthcare of New Mexico LLC

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

PURE HEALTHCARE OF NEW MEXICO LLC

Practice address

1648B Alameda Blvd NW
Albuquerque, NM 87114-8807

Phone

(505) 966-9644

Fax

(801) 327-0211

NPI assigned

Jan 24, 2019

Last updated

Apr 29, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rachel Fraga

Title

Credentialing Contracting Manager

Phone

(801) 590-9267

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laura Graham, FNP-C

  • Family Nurse Practitioner
  • Lakewood, CO
  • NPI 1912364597

  NM

  Medicare reassignment NPD
• Tiffany Dawn Shadle, FNP-C

  • Family Nurse Practitioner
  • Pampa, TX
  • NPI 1750560298

  NM

  Medicare reassignment NPD
• Jonathan M Baugh, D.O.

  • Emergency Medicine Physician
  • St George, UT
  • NPI 1578882759

  NM

  Medicare reassignment

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745884800000",
    "number": "1578027470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4179 S RIVERBOAT RD STE 220",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841232986",
            "telephone_number": "801-755-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1648B ALAMEDA BLVD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871148807",
            "telephone_number": "505-966-9644",
            "fax_number": "801-327-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE HEALTHCARE OF NEW MEXICO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-24",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A",
        "authorized_official_last_name": "FRAGA",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "CREDENTIALING CONTRACTING MANAGER",
        "authorized_official_telephone_number": "801-590-9267"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Purcell, PA-C
• Chelsea Purcell
• Barbara L Purcella, LMSW
• Malcolm H Purdy, M.D.
• Pure Compassion
• Pure Infusion of New Mexico LLC
• Kazuko K Puro, OD
• Purpose Counseling
• Carrie Purse
• Kimberly Puruncajas

• Infusion Therapy Clinic/Center in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Infusion Therapy Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare 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.