Susette Eaves, CFNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R21501 Issued in NM

Practice address

1231 Candelaria Rd NW
M-I/Family Health, NW Valley
Albuquerque, NM 87107-2767

Phone

(505) 272-2158

NPI assigned

Aug 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

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 1

Specialty

Nurse Practitioner

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Omni Medical Group LLCGroup PAC ID 6709049745, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Omni Medical Group LLC

  dba Clinica La Esperanza

  • Clinic/Center
  • Albuquerque, NM
  • NPI 1568768042

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Los Lunas Quickcare, LLC

  • Family Medicine Physician
  • Los Lunas, NM
  • NPI 1033428917
  NPD (past)
• Truecare LLC

  • Family Medicine Physician
  • Albuquerque, NM
  • NPI 1407227002
  NPD (past)
• University Physician Associates

  • Multi-Specialty Clinic/Center
  • Albuquerque, NM
  • NPI 1265468086
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780690354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 CANDELARIA RD NW",
            "address_2": "MSC09 5040",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871072767",
            "telephone_number": "505-272-2158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 CANDELARIA RD NW",
            "address_2": "M-I/FAMILY HEALTH, NW VALLEY",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871072767",
            "telephone_number": "505-272-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAVES",
        "first_name": "SUSETTE",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "R21501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eating Disorders Treatment Center, LLC
• Camri Alexus Eaton, RPH
• Gail G Eaton, M.S. CCC-SLP
• R. Phillip Eaton, MD
• John Craig Eaves, RPSGT
• Taylor Lee Eaves, DC
• Ala Ebaid, MD
• Olga A Ebalarosa, LCSW
• Nicole Ebberhart Duranceaux, PH.D.
• David Ebeling, LMHC

• Family Medicine Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Family Medicine Physician in New Mexico

• 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.
• 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.

Verify at the official NPI Registry.