Active NPI
Mindremedi LLC
- Psychiatric/Mental Health Nurse Practitioner
- Albuquerque, NM
National Provider Identifier
1740964923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- MINDREMEDI LLC
- Practice address
- 500 4TH St NW
Albuquerque, NM 87102-5324 - Phone
- (707) 639-3463
- NPI assigned
- Jun 9, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie Armenta, CPB
- Title
- Billing/Credentialing Specialist
- Phone
- (228) 334-6609
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
500 4TH St NW
Albuquerque, NM 87102-5324
Mailing address
500 4TH St NW Ste 102
Albuquerque, NM 87102-2104
Phone (707) 639-3463
Other names 1
- Franklin Porcil
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Albuquerque, NM
- NPI 1346933504
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686268800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713744000000",
"number": "1740964923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 4TH ST NW STE 102",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871022104",
"telephone_number": "707-639-3463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 4TH ST NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871025324",
"telephone_number": "707-639-3463"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDREMEDI LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-09",
"last_updated": "2024-04-22",
"certification_date": "2024-04-22",
"status": "A",
"authorized_official_last_name": "ARMENTA",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "BILLING/CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "228-334-6609",
"authorized_official_credential": "CPB"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Franklin Porcil",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Franklin Porcil",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.