Individual provider Active NPI

Elaine Louise Brightwater, DNP, CNM, WHCNP, RN

  • Advanced Practice Midwife
  • Albuquerque, NM
National Provider Identifier
1760624779
Registry record updated Apr 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
364 Issued in NM
Practice address
2726 Santa Clara Ave SE
Albuquerque, NM 87106-3041
Phone
(505) 228-6642
NPI assigned
Apr 6, 2009
Last updated
Apr 6, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 364 NM Primary

Addresses

Primary practice location

2726 Santa Clara Ave SE
Albuquerque, NM 87106-3041

Mailing address

2726 Santa Clara Ave SE
Albuquerque, NM 87106-3041
Phone (505) 228-6642

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
Certified Nurse Midwife, Registered Nurse

State licenses

LicenseStateTypeSpecialty
364NMMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238976000000",
    "number": "1760624779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2726 SANTA CLARA AVE SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871063041",
            "telephone_number": "505-228-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2726 SANTA CLARA AVE SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871063041",
            "telephone_number": "505-228-6642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGHTWATER",
        "first_name": "ELAINE",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "DNP, CNM, WHCNP, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2009-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NM",
            "license": "364",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 6, 2009; 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.