Individual provider Active NPI

Stephanie Abeyta, CNP

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1801211495
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP-53607 Issued in NM
Practice address
700 2ND St NW
Albuquerque, NM 87102-1578
Phone
(505) 884-4464
NPI assigned
Feb 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP-53607 NM Primary

Addresses

Primary practice location

700 2ND St NW
Albuquerque, NM 87102-1578

Mailing address

3911 4TH St NW Ste B
Albuquerque, NM 87107-2510
Phone (505) 433-4493

Other identifiers 1

IdentifierTypeStateIssuer
45182809MedicaidNM

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190401000945 NM Practitioner - Nurse Practitioner 2668713686 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP-53607NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services CurrentSince Jan 13, 2020 Accepting new patients
Hippocare, Inc CurrentSince May 8, 2019 Accepting new patients
Soar Wellness CurrentSince Dec 20, 2021 Accepting new patients
Hippocare, Inc CurrentSince May 8, 2019 Accepting new patients
Presbyterian Healthcare Services CurrentSince Jan 13, 2020 Accepting new patients

Locations

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

3777 The American Rd NW
Albuquerque, NM 87114
Phone (505) 514-5885

3911 4th St NW
#B
Albuquerque, NM 87107
Phone (505) 345-6801

6400 Paseo del Norte NE
Albuquerque, NM 87113
Phone (505) 596-2100

6855 4th St NW
Ste B2
Los Ranchos, NM 87107
Phone (505) 398-9430

Interoperability endpoints

  • Direct secure messaging: stephanie@sw-nm.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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": "1392768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1801211495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 4TH ST NW STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871072510",
            "telephone_number": "505-433-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 2ND ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871021578",
            "telephone_number": "505-884-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABEYTA",
        "first_name": "STEPHANIE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-19",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-53607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45182809",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.