Individual provider Active NPI

Tom Ceman, RN

  • Registered Nurse
  • Albuquerque, NM
National Provider Identifier
1790350379
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R60522 Issued in NM
Practice address
1528 Five Points Rd SW
Albuquerque, NM 87105-3179
Phone
(505) 242-6919
Fax
(505) 242-6929
NPI assigned
May 25, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R60522 NM Primary

Addresses

Primary practice location

1528 Five Points Rd SW
Albuquerque, NM 87105-3179

Mailing address

1528 Five Points Rd SW
Albuquerque, NM 87105-3179
Phone (505) 242-6919

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R60522NMMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1790350379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 FIVE POINTS RD SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871053179",
            "telephone_number": "505-242-6919",
            "fax_number": "505-242-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 FIVE POINTS RD SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871053179",
            "telephone_number": "505-242-6919",
            "fax_number": "505-242-6929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEMAN",
        "first_name": "TOM",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "R60522",
            "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 May 25, 2021; 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.