Enchantment Concierge Family Practice

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ENCHANTMENT CONCIERGE FAMILY PRACTICE

Practice address

6016 Kilmer Ave NW
Albuquerque, NM 87120-1410

Phone

(505) 681-5287

NPI assigned

Sep 27, 2022

Organization subpart

No

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

Authorized official

Name

Krista J Gurule, MSN, APRN, NP-CNPI 1467127845

Title

NP-C Owner

Phone

(505) 681-5287

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Enchantment Concierge Family Practice Krista Gurule CFN-P LLC Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Krista Jolene Gurule, NP-C

  • Family Nurse Practitioner
  • Albuquerque, NM
  • NPI 1467127845
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1629792247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6016 KILMER AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201410",
            "telephone_number": "505-681-5287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6016 KILMER AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201410",
            "telephone_number": "505-681-5287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCHANTMENT CONCIERGE FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "GURULE",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "NP-C OWNER",
        "authorized_official_telephone_number": "505-681-5287",
        "authorized_official_credential": "MSN, APRN, NP-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1467127845",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enchantment Concierge Family Practice Krista Gurule CFN-P LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Leila Melissa Encinas
• Brandi Encinias, CPSW
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• Clinic/Center in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.