Organization Active NPI

Reform Abq

  • Medical Specialty Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1629803192
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
REFORM ABQ
Practice address
200 Oak St NE Ste 7
Albuquerque, NM 87106-4353
Phone
(505) 420-6979
NPI assigned
Sep 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Authorized official

Name
Dee M Cagley
Title
Billing Manager
Phone
(714) 421-9316

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X
Clinic/Center 261Q00000X
Medical Specialty Clinic/Center 261QM2500X Primary
Family Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SF0001X

Addresses

Primary practice location

200 Oak St NE Ste 7
Albuquerque, NM 87106-4353

Mailing address

200 Oak St NE Ste 7
Albuquerque, NM 87106-4353
Phone (505) 420-6979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250115003759 NM Part B Supplier - Clinic/Group Practice 0941738124 Receives reassigned benefits from 1 practitioner
Practice locations: Albuquerque, NM

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2251240Reform Abq, LLC200 Oak St NE Suite 7, Albuquerque, NM 87106Certificate of waiverJan 31, 2028

National Provider Directory

National Provider Directory

Locations

200 Oak St NE
Ste 7
Albuquerque, NM 87106
Phone (505) 420-6979

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1629803192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OAK ST NE STE 7",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064353",
            "telephone_number": "505-420-6979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 OAK ST NE STE 7",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064353",
            "telephone_number": "505-420-6979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFORM ABQ",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "CAGLEY",
        "authorized_official_first_name": "DEE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "714-421-9316"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.