Individual provider Active NPI

Andrea Diane Zummo, FNP-BC, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1649787201
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
60693 Issued in NM
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

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200922001759 NM Practitioner - Nurse Practitioner 6305264466 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
60693NMMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Happy Human Healthcare, LLC CurrentSince Sep 1, 2023 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.

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

Verify at the official NPI Registry.