Individual provider Active NPI

Nadine A Clapp, M.D.

  • Obstetrics & Gynecology Physician
  • Albuquerque, NM
National Provider Identifier
1801821038
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
NM9228 Issued in NM
Practice address
5901J Wyoming Blvd NE # 163
Albuquerque, NM 87109-3866
Phone
(505) 217-1844
Fax
(404) 601-6722
NPI assigned
Jul 12, 2006
Reactivated
Dec 8, 2020
Last updated
Dec 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NM9228 NM Primary

Addresses

Primary practice location

5901J Wyoming Blvd NE # 163
Albuquerque, NM 87109-3866

Mailing address

4705 Montgomery Blvd NE
Ste 201
Albuquerque, NM 87109-1233
Phone (505) 217-1844

Other identifiers 4

IdentifierTypeStateIssuer
160050082OtherNMRAILROAD RETIREMENT PROV
201001798OtherNMPRES HEALTH PLAN PROV #
F6995MedicaidNM
NM002285OtherNMBCBS PROV NUMBER

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
NM9228NMMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1801821038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 MONTGOMERY BLVD NE",
            "address_2": "STE 201",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091233",
            "telephone_number": "505-217-1844",
            "fax_number": "404-601-6722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901J WYOMING BLVD NE # 163",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093866",
            "telephone_number": "505-217-1844",
            "fax_number": "404-601-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAPP",
        "first_name": "NADINE",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "deactivation_date": "2020-01-22",
        "reactivation_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NM",
            "license": "NM9228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD RETIREMENT PROV",
            "identifier": "160050082",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRES HEALTH PLAN PROV #",
            "identifier": "201001798",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F6995",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROV NUMBER",
            "identifier": "NM002285",
            "state": "NM"
        }
    ],
    "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 Dec 8, 2020; 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.