Katherine Ann Duba, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

67996 Issued in NM

Practice address

5900 Forest Hills Dr NE
Albuquerque, NM 87109-4129

Phone

(619) 671-8963

NPI assigned

Jul 19, 2021

Last updated

Mar 18, 2023By 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 4

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

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.

• Comprehensive Rehab Consultants PLLC

  dba Comprehensive Rehab Consultants LLC

  • Physical Medicine & Rehabilitation Physician
  • Middle River, MD
  • NPI 1710529771
  NPD
• Post Acute Rehabilitation Physicians LLC

  • Physical Medicine & Rehabilitation Physician
  • Lehi, UT
  • NPI 1023781028
  NPD

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679097600000",
    "number": "1821661810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 SANDIA CREST RD",
            "city": "SANDIA PARK",
            "state": "NM",
            "postal_code": "870472413",
            "telephone_number": "618-671-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 FOREST HILLS DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094129",
            "telephone_number": "619-671-8963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7900 Constitution Ave NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871107513",
            "country_code": "US",
            "telephone_number": "618-671-8963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUBA",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2023-03-18",
        "certification_date": "2023-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2021019692",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NM",
            "license": "67996",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209023478",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NM",
            "license": "67996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katherine.duba@crehabconsultants.com",
            "affiliation": "N",
            "endpointDescription": "practice email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "78 Sandia Crest Rd",
            "city": "Sandia Park",
            "state": "NM",
            "country_code": "US",
            "postal_code": "870472413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Arabella Duarte, PT, DPT
• Hailey Duarte, RN
• Ramon Rosa Duarte, MD
• Rayna Duarte
• Yvonne Duarte, LCSW
• Andrew R Dubach, LCSW
• Stewart Duban, MD
• Dublin Gulch Counseling and Consultation
• Amanda Dubois
• Paul Dubois

• Gerontology Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Gerontology Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.