Active NPI
Vicki Ventura, MSN,CNS,APRN,BC
- Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
- Albuquerque, NM
National Provider Identifier
1629172333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
- License
- CNS0069
- Practice address
- 4801 Lang Avenue NE
Suite 110
Albuquerque, NM 87109-4407 - Phone
- (505) 798-2633
- Fax
- (505) 796-9801
- NPI assigned
- Sep 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0807X | CNS0069 | NM | Primary |
Addresses
Primary practice location
4801 Lang Avenue NE
Suite 110
Albuquerque, NM 87109-4407
Mailing address
4608 Gretta Court NE
Albuquerque, NM 87111-3715
Phone (505) 452-2286
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 93183038 | Medicaid | NM |
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)
- Not enrolled
- Credentials
- Certified Nurse Specialist, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNS0069 | NM | MD | Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361232000000",
"number": "1629172333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4608 GRETTA COURT NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871113715",
"telephone_number": "505-452-2286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 LANG AVENUE NE",
"address_2": "SUITE 110",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094407",
"telephone_number": "505-798-2633",
"fax_number": "505-796-9801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENTURA",
"first_name": "VICKI",
"name_prefix": "Ms.",
"credential": "MSN,CNS,APRN,BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-12",
"last_updated": "2013-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0807X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
"state": "NM",
"license": "CNS0069",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "93183038",
"state": "NM"
}
],
"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 Feb 19, 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.