Active NPI
Stephanie Nnamchi
- Nurse Practitioner
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN213609
- Practice address
- 8010 Mountain Rd NE Ste 300
Albuquerque, NM 87110-7840 - Phone
- (505) 508-1060
- Fax
- (505) 416-4814
- NPI assigned
- Sep 7, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN213609 | GA | Primary |
Addresses
Primary practice location
8010 Mountain Rd NE Ste 300
Albuquerque, NM 87110-7840
Mailing address
300 Colonial Center Pkwy
Ste 100
Alpharetta, GA 30096-1287
Phone (678) 862-2513
Other practice location 1
6174 Red Maple Rd
Atlanta, GA 30349-1287
Phone (404) 910-9499
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1700 Parsons RDG
Johns Creek, GA 30097-7713
Phone (404) 910-9499
8010 Mountain Rd NE
Suite 300
Albuquerque, NM 87110-7840
Phone (678) 862-2513
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN213609 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vigor Health Services LLC | Single Specialty | Current | Accepting new patients |
Locations
300 Colonial Center Pkwy
Ste 100
Roswell, GA 30076
Phone (470) 670-6319
8010 Mountain Rd NE
Ste 300
Albuquerque, NM 87110
Phone (505) 266-8200
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Johns Creek, GA
- NPI 1083369318
NM, Single Specialty
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Athens, GA
- NPI 1942270558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750896000000",
"number": "1780102996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 COLONIAL CENTER PKWY",
"address_2": "STE 100",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300961287",
"telephone_number": "678-862-2513",
"fax_number": "505-416-4814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8010 MOUNTAIN RD NE STE 300",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871107840",
"telephone_number": "505-508-1060",
"fax_number": "505-416-4814"
}
],
"practiceLocations": [
{
"address_1": "6174 Red Maple Rd",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303491287",
"country_code": "US",
"telephone_number": "404-910-9499",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NNAMCHI",
"first_name": "STEPHANIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-07",
"last_updated": "2025-06-26",
"certification_date": "2025-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN213609",
"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 Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.