Active NPI
Ermelinda Pacheco, CDE, RN
- Diabetes Educator Registered Nurse
- Albuquerque, NM
National Provider Identifier
1609114339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- R32998
- Practice address
- 8300 Constitution Ave NE
PMG at 8300 Constitution
Albuquerque, NM 87110-7613 - Phone
- (505) 559-6400
- NPI assigned
- Jan 31, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | R32998 | NM | Primary |
Addresses
Primary practice location
8300 Constitution Ave NE
PMG at 8300 Constitution
Albuquerque, NM 87110-7613
Mailing address
8300 Constitution Ave NE
PMG at 8300 Constitution
Albuquerque, NM 87110-7613
Phone (505) 559-6400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366675200000",
"number": "1609114339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8300 CONSTITUTION AVE NE",
"address_2": "PMG AT 8300 CONSTITUTION",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871107613",
"telephone_number": "505-559-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8300 CONSTITUTION AVE NE",
"address_2": "PMG AT 8300 CONSTITUTION",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871107613",
"telephone_number": "505-559-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACHECO",
"first_name": "ERMELINDA",
"credential": "CDE, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-31",
"last_updated": "2013-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "NM",
"license": "R32998",
"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 Apr 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.