Individual provider Active NPI

Katrina S Olivas, NP

  • Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1609467182
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
62694 Issued in NM
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

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210315000649 NM Practitioner - Nurse Practitioner 7517373723 Reassigns benefits to 5 organizations

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
Curana Health of New Mexico, LLCGroup PAC ID 9335553197, 16 clinicians

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 Home health agency, Albuquerque, NM, CCN 327224

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC Nurse Practitioner CurrentSince Dec 21, 2025 Accepting new patients
Vitality Health Solutions LLC Nurse Practitioner CurrentSince Nov 23, 2024 Accepting new patients
Curana Health of New Mexico LLC Nurse Practitioner CurrentSince Feb 21, 2024 Accepting new patients
Nextcare New Mexico LLC CurrentSince Dec 29, 2021 Accepting new patients
Healthnm, LLC CurrentSince Apr 1, 2022 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

  • FHIR API: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.