Active NPI
Kontasha Shamika Wise, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- CNP02817
- Practice address
- 8226 Menaul Blvd NE # 144
Albuquerque, NM 87110-4614 - Phone
- (505) 544-2366
- NPI assigned
- Nov 12, 2011
- Last updated
- Sep 5, 2025
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 17616 | SC | |
| Adult Health Nurse Practitioner | 363LA2200X | CNP02817 | NM | |
| Family Nurse Practitioner | 363LF0000X | CNP02817 | NM | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CNP02817 | NM | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | CNP02817 | NM |
Addresses
Primary practice location
8226 Menaul Blvd NE # 144
Albuquerque, NM 87110-4614
Mailing address
8226 Menaul Blvd NE # 144
Albuquerque, NM 87110-4614
Phone (505) 544-2366
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6929753 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NM, FL, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
102 Gold Ave SW
Suite 548
Albuquerque, NM 87102-3335
Phone (505) 660-8047
302 University Pkwy
Aiken, SC 29801-6302
Phone 8328694818235
4700 N Habana Ave
Suite 601
Tampa, FL 33614-7160
Phone 8328694818235
675 Town Square Blvd
Garland, TX 75040-2992
Phone (305) 579-9538
7877 Willow Chase Blvd
Houston, TX 77070-5934
Phone 8328694818235
9310 Coors Blvd NW
Albuquerque, NM 87114-4006
Phone 8328694818235
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP02817 | NM | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatry of Texas PLLC | Multi-Specialty | Current | Accepting new patients |
| South Carolina Dept of Mental Health Accounting Office | Current | Accepting new patients | |
| Brave Health Medical Group PA | Multi-Specialty | Current | Accepting new patients |
| South Carolina Dept of Mental Health Accounting Office | Multi-Specialty | Current | Accepting new patients |
| South Carolina Dept of Mental Health Accounting Office | Multi-Specialty | Current | Accepting new patients |
| South Carolina Dept of Mental Health Accounting Office | Multi-Specialty | Current | Accepting new patients |
| Psychplus Medical Associates, PLLC | Multi-Specialty | Current | Accepting new patients |
| South Carolina Dept of Mental Health Accounting Office | Multi-Specialty | Current | Accepting new patients |
| Interactionmatters, LLC | Multi-Specialty | Current | Accepting new patients |
Locations
250 2nd St E
Ste 4C
Bradenton, FL 34208
Phone (941) 744-5860
6700 Winkler Rd
Ste 4
Fort Myers, FL 33919
Phone 8328694818 ext. 235
5995 SE Community Dr
Stuart, FL 34997
Phone (727) 424-3427
4700 N Habana Ave
Ste 601
Tampa, FL 33614
Phone (201) 706-1143
102 Gold Ave SW
#548
Albuquerque, NM 87102
Phone (505) 660-8047
5000 Cutler Ave NE
Ste A
Albuquerque, NM 87110
Phone (505) 227-7434
9310 Coors Blvd NW
Albuquerque, NM 87114
Phone (505) 431-1900
1135 Gregg Hwy NW
Aiken, SC 29801
Phone (803) 641-7700
1510 Whiskey Rd
Ste 2
Aiken, SC 29803
302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940
524 Doctors Ct
Chester, SC 29706
Phone (803) 325-7744
221 Adley Way
Greenville, SC 29607
Phone (661) 378-0517
12180 N Mopac Expy
Ste B
Austin, TX 78758
Phone (512) 836-4999
12221 Merit Dr
Ste 450
Dallas, TX 75251
Phone (214) 217-1900
2110 W Trenton Rd
Ste A
Edinburg, TX 78539
Phone (956) 289-8200
3100 Alliance Town Ctr
Fort Worth, TX 76177
Phone (409) 938-5166
675 Town Square Blvd
Ste 200
Garland, TX 75040
Phone (305) 579-9538
7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109
23838 Highway 59 N
Kingwood, TX 77339
Phone (832) 869-4814
Interoperability endpoints
- kwise@bmc-nm.direct.office.nextgen.com
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Miami, FL
- NPI 1225669161
Multi-Specialty, NM, TX
-
dba Psychplus Associates
- Psychiatry Physician
- Houston, TX
- NPI 1013476027
FL, Multi-Specialty, NM, SC
-
- Multi-Specialty Clinic/Center
- Albuquerque, NM
- NPI 1033706924
-
- Family Medicine Physician
- Houston, TX
- NPI 1558118026
FL, Multi-Specialty, NM, SC
-
dba Highway to Hope Tri-County Primary Care
- Primary Care Nurse Practitioner
- Bennettsville, SC
- NPI 1295332690
Multi-Specialty
-
dba Waccamaw Center for Mental Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Conway, SC
- NPI 1356397228
Multi-Specialty
-
- Psychiatry Physician
- Greenville, SC
- NPI 1942164157
-
dba Midlands Crisis Stabilization Center
- Community/Behavioral Health Agency
- Columbia, SC
- NPI 1083421994
-
dba Aiken-Barnwell Mental Health Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Aiken, SC
- NPI 1316904857
Multi-Specialty
-
dba Catawba Mental Health Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rock Hill, SC
- NPI 1568476885
Multi-Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1306914213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757030400000",
"number": "1679850044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8226 MENAUL BLVD NE # 144",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871104614",
"telephone_number": "505-544-2366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8226 MENAUL BLVD NE # 144",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871104614",
"telephone_number": "505-544-2366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISE",
"first_name": "KONTASHA",
"middle_name": "SHAMIKA",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-12",
"last_updated": "2025-09-05",
"certification_date": "2025-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "17616",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NM",
"license": "CNP02817",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "CNP02817",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NM",
"license": "CNP02817",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NM",
"license": "CNP02817",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6929753",
"state": "NM"
}
],
"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, 2025; 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.