Individual provider Active NPI

Crystal Otero-Griffith, CNP

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1750997391
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
61521 Issued in NM
Practice address
1216 5TH St NW
Albuquerque, NM 87102-1312
Phone
(505) 417-1413
NPI assigned
Sep 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 61521 NM
Family Nurse Practitioner 363LF0000X 61521 NM Primary

Addresses

Primary practice location

1216 5TH St NW
Albuquerque, NM 87102-1312

Mailing address

8227 Calle Primera NW
Albuquerque, NM 87120-5392
Phone (505) 417-1413

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
I20201113000745 NM Practitioner - Nurse Practitioner 1557771995 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
Group practices
National Sinus Institute PLLCGroup PAC ID 9234284407, 36 clinicians

Practice addresses (Care Compare)

3791 Southern Blvd SE
Suite 100
Rio Rancho, NM 87124-7417
Phone (505) 994-9435

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
61521NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
National Sinus Institute PLLC Nurse Practitioner CurrentSince Jun 10, 2025 Accepting new patients
Refreshed Beauty, LLC CurrentSince Nov 6, 2022 Accepting new patients

Locations

1216 5th St NW
Albuquerque, NM 87102
Phone (505) 417-1413

6709 Academy Rd NE
Ste B
Albuquerque, NM 87109
Phone (505) 207-7550

1720 Louisiana Blvd NE
Ste 401A
Albuquerque, NM 87110

721 E Holly St
Ste A
Deming, NM 88030
Phone (575) 201-4204

3917 West Rd
Los Alamos, NM 87544
Phone (505) 661-9584

3791 Southern Blvd SE
Ste 100
Rio Rancho, NM 87124
Phone (505) 207-7550

1620 N Main St
Spanish Fork, UT 84660

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDAHAA

Organizations & group practices 2

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": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1750997391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8227 CALLE PRIMERA NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871205392",
            "telephone_number": "505-417-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 5TH ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871021312",
            "telephone_number": "505-417-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTERO-GRIFFITH",
        "first_name": "CRYSTAL",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-18",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "61521",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "61521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.