Individual provider Active NPI

Christina Nicole Andre, FNP-C

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1598034936
Registry record updated Jun 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
66769 Issued in NM
Practice address
4410 Irving Blvd NW
Albuquerque, NM 87114-5951
Phone
(505) 814-1333
NPI assigned
Dec 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN139756 AZ
Family Nurse Practitioner 363LF0000X 262963 AZ
Family Nurse Practitioner 363LF0000X 66769 NM Primary

Addresses

Primary practice location

4410 Irving Blvd NW
Albuquerque, NM 87114-5951

Mailing address

4410 Irving Blvd NW
Albuquerque, NM 87114-5951
Phone (505) 814-1333

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
I20220214001849 NM Practitioner - Nurse Practitioner 0042609711 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McLeod Medical Centers of NM IncGroup PAC ID 5092075531, 54 clinicians

Practice addresses (Care Compare)

1202 Main St NE a
Duke City Primary Care
Los Lunas, NM 87031-7421
Phone (505) 281-5180

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN139756AZMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Medical Centers of NM, Inc. CurrentSince Sep 7, 2023 Accepting new patients
McLeod Medical Centers of NM, Inc. Current Accepting new patients
Southwest Medical Associates, LLC CurrentSince Apr 1, 2022 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Apr 1, 2022 Accepting new patients
Prescott Healthcare Solutions LLC Family Past Accepting new patients

Locations

1901 Juan Tabo Blvd NE
Albuquerque, NM 87112
Phone (505) 262-9200

7200 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 814-1995

6701 Jefferson St NE
Albuquerque, NM 87109
Phone (505) 727-0600

11501 Montgomery Blvd NE
Albuquerque, NM 87111
Phone (505) 814-1333

11601 Montgomery Blvd NE
Albuquerque, NM 87111
Phone (505) 207-3421

4410 Irving Blvd NW
Albuquerque, NM 87114
Phone (505) 768-6123

4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360

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

12127 N State Highway 14
Ste 5
Cedar Crest, NM 87008
Phone (505) 281-2460

1851 Old US 66
Edgewood, NM 87015
Phone (505) 281-8463

1202 Main St NE
Ste A
Los Lunas, NM 87031
Phone (505) 565-0070

Interoperability endpoints

  • Direct secure messaging: christina.andre.1@27050.direct.athenahealth.com

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": "1323820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717804800000",
    "number": "1598034936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 IRVING BLVD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145951",
            "telephone_number": "505-814-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 IRVING BLVD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145951",
            "telephone_number": "505-814-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRE",
        "first_name": "CHRISTINA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-14",
        "last_updated": "2024-06-08",
        "certification_date": "2024-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN139756",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "262963",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "66769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.