Individual provider Active NPI

Eileen Kerem, CNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Santa Fe, NM
National Provider Identifier
1760642920
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
CNP01602 Issued in NM
Practice address
1650 Hospital Dr
Suite 400
Santa Fe, NM 87505-4769
Phone
(505) 984-2300
Fax
(505) 988-1940
NPI assigned
Jun 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X CNP01602 NM Primary

Addresses

Primary practice location

1650 Hospital Dr
Suite 400
Santa Fe, NM 87505-4769

Mailing address

1650 Hospital Dr
Suite 400
Santa Fe, NM 87505-4769
Phone (505) 984-2300

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)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP01602NMMDObstetrics & Gynecology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493337600000",
    "number": "1760642920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 HOSPITAL DR",
            "address_2": "SUITE 400",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054769",
            "telephone_number": "505-984-2300",
            "fax_number": "505-988-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 HOSPITAL DR",
            "address_2": "SUITE 400",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054769",
            "telephone_number": "505-984-2300",
            "fax_number": "505-988-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEREM",
        "first_name": "EILEEN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-11",
        "last_updated": "2017-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NM",
            "license": "CNP01602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.