Individual provider Active NPI

Janet Gale Baca, CRNFA RN BSN CNOR

  • Registered Nurse First Assistant
  • Albuquerque, NM
National Provider Identifier
1760566038
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
R18882 Issued in NM
Practice address
1311 Camino Ecuestre NW
Albuquerque, NM 87107-2612
Phone
(505) 345-4647
Fax
(505) 345-3127
NPI assigned
Oct 24, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X R18882 NM Primary

Addresses

Primary practice location

1311 Camino Ecuestre NW
Albuquerque, NM 87107-2612

Mailing address

1311 Camino Ecuestre NW
Albuquerque, NM 87107-2612
Phone (505) 345-4647

Other identifiers 3

IdentifierTypeStateIssuer
0007286391OtherNMAETNA
3474983OtherNMCIGNA HEALTHCARE
R79ZOtherNMBLUE CROSS BLUE SHIELD

Other names 1

  • Miss Janet Gale Nixon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
R18882NMMDRegistered Nurse First Assistant

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760566038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 CAMINO ECUESTRE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871072612",
            "telephone_number": "505-345-4647",
            "fax_number": "505-345-3127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 CAMINO ECUESTRE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871072612",
            "telephone_number": "505-345-4647",
            "fax_number": "505-345-3127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACA",
        "first_name": "JANET",
        "middle_name": "GALE",
        "name_prefix": "Mrs.",
        "credential": "CRNFA RN BSN CNOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "NM",
            "license": "R18882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007286391",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "3474983",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "R79Z",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANET",
            "last_name": "NIXON",
            "middle_name": "GALE",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.