Active NPI
Andrea Diane Zummo, FNP-BC, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 60693
- Practice address
- 8204 Louisiana Blvd NE Ste a
Albuquerque, NM 87113-1737 - Phone
- (505) 582-2180
- NPI assigned
- Jan 4, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 60693 | NM | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 60693 | NM | Primary |
Addresses
Primary practice location
8204 Louisiana Blvd NE Ste a
Albuquerque, NM 87113-1737
Mailing address
PO Box 30456
Albuquerque, NM 87190-0456
Other practice location 1
8205 Spain Rd NE Ste 110
Albuquerque, NM 87109-3155
Phone (844) 284-2779
Other practice location 2
10800 Dennis Chavez Blvd SW
Albuquerque, NM 87121-5498
Phone (505) 272-6009
Other names 1
- Andrea Diane Rhodes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8205 Spain Rd NE
Suite 110
Albuquerque, NM 87109-3155
Phone (844) 284-2779
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60693 | NM | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Happy Human Healthcare, LLC | Current | Accepting new patients |
Locations
8205 Spain Rd NE
Ste 110
Albuquerque, NM 87109
Phone (844) 284-2779
5901 Indian School Rd NE
Ste 152
Albuquerque, NM 87110
11024 Montgomery Blvd NE
Albuquerque, NM 87111
Phone (505) 332-8070
Organizations & group practices 1
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.
-
- Nurse Practitioner
- Albuquerque, NM
- NPI 1104508795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690934400000",
"number": "1649787201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30456",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871900456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8204 LOUISIANA BLVD NE STE A",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871131737",
"telephone_number": "505-582-2180"
}
],
"practiceLocations": [
{
"address_1": "8205 Spain Rd NE Ste 110",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871093155",
"country_code": "US",
"telephone_number": "844-284-2779",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10800 Dennis Chavez Blvd SW",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871215498",
"country_code": "US",
"telephone_number": "505-272-6009",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZUMMO",
"first_name": "ANDREA",
"middle_name": "DIANE",
"credential": "FNP-BC, PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-04",
"last_updated": "2023-08-02",
"certification_date": "2023-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "60693",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NM",
"license": "60693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "RHODES",
"middle_name": "DIANE",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
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 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.