Individual provider Active NPI

Stephanie Nnamchi

  • Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1780102996
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN213609 Issued in GA
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

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200826003598 GA Practitioner - Nurse Practitioner 1355768094 Reassigns benefits to 2 organizations
I20240926004635 NM Practitioner - Nurse Practitioner 1355768094 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
RN213609GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vigor Health Services LLC Single Specialty CurrentSince Nov 9, 2022 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.

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

Verify at the official NPI Registry.