Samantha M Madrid, BCNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP-03090 Issued in NM

Practice address

5909 Alice Ave NE
Albuquerque, NM 87110-6501

Phone

(505) 200-2927

NPI assigned

Oct 20, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1740731033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8152 CORN MOUNTAIN PL NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871146079",
            "telephone_number": "505-323-7769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5909 ALICE AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871106501",
            "telephone_number": "505-200-2927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADRID",
        "first_name": "SAMANTHA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "BCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-03090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melody Madrid
• Melynda Denice Madrid, LPCC
• Nancy Elizabeth Madrid, LPCC
• Racheal Anne Madrid, LPC
• Roxann Madrid
• Virginia Madrid, RN
• Yamileth J Madrid
• Yesenia Azucena Madrid
• Zenovio Madrid, CPSW
• Jessica Ann Madrigal-Bauguss, PH.D.

• Family Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.