Active NPI
Kathie Sue Maxwell, CNP
- Advanced Practice Midwife
- Albuquerque, NM
National Provider Identifier
1609897388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 547
- Practice address
- 201 Cedar St SE Ste 405
Albuquerque, NM 87106-4924 - Phone
- (505) 764-9535
- Fax
- (505) 924-7336
- NPI assigned
- Jul 21, 2006
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 547 | NM | Primary |
Addresses
Primary practice location
201 Cedar St SE Ste 405
Albuquerque, NM 87106-4924
Mailing address
201 Cedar St SE Ste 405
Albuquerque, NM 87106-4924
Phone (505) 764-9535
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56639848 | Medicaid | NM | |
| 797376 | Other | AZ | MEDICAID |
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
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 547 | NM | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perinatal Associates of New Mexico, LTD | Past | Accepting new patients | |
| Perinatal Associates of New Mexico, LTD | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Maternal & Fetal Medicine Physician
- Albuquerque, NM
- NPI 1376565952
-
- Maternal & Fetal Medicine Physician
- El Paso, TX
- NPI 1982550554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472083200000",
"number": "1609897388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 CEDAR ST SE STE 405",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064924",
"telephone_number": "505-764-9535",
"fax_number": "505-924-7336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 CEDAR ST SE STE 405",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064924",
"telephone_number": "505-764-9535",
"fax_number": "505-924-7336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXWELL",
"first_name": "KATHIE",
"middle_name": "SUE",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2016-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NM",
"license": "547",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "56639848",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "797376",
"state": "AZ"
}
],
"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 Aug 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.