Active NPI
Katrina S Olivas, NP
- Nurse Practitioner
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 62694
- Practice address
- 9640 Menaul Blvd NE
Albuquerque, NM 87112-2217 - Phone
- (505) 294-4167
- NPI assigned
- Jan 28, 2021
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 62694 | NM | Primary |
Addresses
Primary practice location
9640 Menaul Blvd NE
Albuquerque, NM 87112-2217
Mailing address
3209 Walsh Loop SE
Rio Rancho, NM 87124-2963
Phone (505) 934-1152
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | katrina.nm@anodynepain.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10501 Lagrima de Oro Rd NE
Albuquerque, NM 87111-3737
Phone (337) 991-9276
12101 Lomas Blvd NE
Albuquerque, NM 87112-5847
Phone (337) 991-9276
2105 Golf Course Rd SE
Suite E
Rio Rancho, NM 87124-1628
Phone (505) 934-1152
300 Valencia Dr SE
Albuquerque, NM 87108-3058
Phone (337) 991-9276
4910 Tramway Ridge Dr NE
Albuquerque, NM 87111-8200
Phone (337) 991-9276
Hospital & facility affiliations
- Luna Vista Home Healthcare, LLC
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health, LLC | Nurse Practitioner | Current | Accepting new patients |
| Vitality Health Solutions LLC | Nurse Practitioner | Current | Accepting new patients |
| Curana Health of New Mexico LLC | Nurse Practitioner | Current | Accepting new patients |
| Nextcare New Mexico LLC | Current | Accepting new patients | |
| Healthnm, LLC | Current | Accepting new patients |
Locations
1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803
8201 Golf Course Rd NW
Albuquerque, NM 87120
Phone (505) 800-7070
701 Osuna Rd NE
Ste 600
Albuquerque, NM 87113
Phone (505) 404-0295
500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685
1525 N Renaissance Blvd NE
Albuquerque, NM 87107
Phone (505) 243-3387
6001 Menaul Blvd NE
#1086
Albuquerque, NM 87110
206 S Coronado Ave
Espanola, NM 87532
Phone (833) 807-8727
2105 Golf Course Rd SE
Ste E
Rio Rancho, NM 87124
Phone (505) 934-1152
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Espanola, NM
- NPI 1598352015
Nurse Practitioner
-
- Nurse Practitioner
- Rio Rancho, NM
- NPI 1912714296
-
- Urgent Care Clinic/Center
- Albuquerque, NM
- NPI 1619300118
-
- Internal Medicine Physician
- Espanola, NM
- NPI 1346943685
-
- Family Medicine Physician
- Albuquerque, NM
- NPI 1053952473
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Albuquerque, NM
- NPI 1982011631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1609467182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3209 WALSH LOOP SE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871242963",
"telephone_number": "505-934-1152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9640 MENAUL BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871122217",
"telephone_number": "505-294-4167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVAS",
"first_name": "KATRINA",
"middle_name": "S",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-28",
"last_updated": "2024-03-14",
"certification_date": "2024-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NM",
"license": "62694",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "katrina.nm@anodynepain.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "9640 Menaul Blvd NE",
"city": "Albuquerque",
"state": "NM",
"country_code": "US",
"postal_code": "871122217",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.