Organization Active NPI

Ribera Healthcare

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1639726920
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
RIBERA HEALTHCARE
Practice address
801 Encino PL. NE
Suite D-7
Albuquerque, NM 87102-2644
Phone
(505) 207-6526
Fax
(505) 212-1615
NPI assigned
Aug 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Authorized official

Name
Olga Lucero, CNPNPI 1326692336
Title
President
Phone
(505) 450-4478

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

801 Encino PL. NE
Suite D-7
Albuquerque, NM 87102-2644

Mailing address

801 Encino PL NE Ste D7
Albuquerque, NM 87102-2644
Phone (505) 207-6526

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191004000971 NM Part B Supplier - Clinic/Group Practice 3072844158 Receives reassigned benefits from 4 practitioners
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
32D2189828Ribera Healthcare Inc801 Encino PL NE, Suite D7, Albuquerque, NM 87102Certificate of waiverAug 5, 2026

National Provider Directory

National Provider Directory

Locations

6341 Riverside Plaza Ln NW
Ste B
Albuquerque, NM 87120
Phone (505) 546-9217

6341 Riverside Plaza Ln NW
Ste A1
Albuquerque, NM 87120
Phone (505) 207-6526

6341 Riverside Plaza Ln NW
#A1
Albuquerque, NM 87120

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21481/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

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": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1639726920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ENCINO PL NE STE D7",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022644",
            "telephone_number": "505-207-6526",
            "fax_number": "505-212-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 ENCINO PL. NE",
            "address_2": "SUITE D-7",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022644",
            "telephone_number": "505-207-6526",
            "fax_number": "505-212-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIBERA HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-21",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "LUCERO",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-450-4478",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 5, 2023; 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.