Individual provider Active NPI

Alicia Marie Bruno, CNP

  • Acute Care Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1811172182
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R33931 Issued in NM
Practice address
5981 Jefferson St NE Ste a
Albuquerque, NM 87109-3457
Phone
(505) 370-9600
Fax
(505) 355-0566
NPI assigned
Jan 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X R33931 NM Primary

Addresses

Primary practice location

5981 Jefferson St NE Ste a
Albuquerque, NM 87109-3457

Mailing address

5981 Jefferson St NE Ste a
Albuquerque, NM 87109-3457
Phone (505) 370-9600

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
I20080408000008 NM Practitioner - Nurse Practitioner 2365529989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Kidney Care, LLCGroup PAC ID 2860811262, 10 clinicians

Practice addresses (Care Compare)

5981 Jefferson St NE
Suite a
Albuquerque, NM 87109-3457
Phone (505) 370-9600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Kidney Care, LLC CurrentSince Dec 20, 2021 Accepting new patients

Locations

5981 Jefferson St NE
Ste A
Albuquerque, NM 87109
Phone (505) 370-9600

2400 Unser Blvd SE
Ste 28200
Rio Rancho, NM 87124
Phone (505) 370-9600

Interoperability endpoints

  • Direct secure messaging: abruno7034@ahs.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IEGCCD

Organizations & group practices 1

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1811172182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5981 JEFFERSON ST NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093457",
            "telephone_number": "505-370-9600",
            "fax_number": "505-355-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5981 JEFFERSON ST NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093457",
            "telephone_number": "505-370-9600",
            "fax_number": "505-355-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNO",
        "first_name": "ALICIA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-07",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NM",
            "license": "R33931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.