Individual provider Active NPI

Kori Colbath, FNP-C

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1821986605
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
84752 Issued in NM
Practice address
8417 Washington PL NE Ste a
Albuquerque, NM 87113-1720
Phone
(505) 273-9453
NPI assigned
Jun 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 79282 NM
Family Nurse Practitioner 363LF0000X 84752 NM Primary

Addresses

Primary practice location

8417 Washington PL NE Ste a
Albuquerque, NM 87113-1720

Mailing address

8417 Washington PL NE Ste a
Albuquerque, NM 87113-1720
Phone (505) 273-9453

Other practice location 1

11501 Montgomery Blvd NE
Albuquerque, NM 87111-2796
Phone (505) 281-5180

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
I20251212001883 NM Practitioner - Nurse Practitioner 4981198371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McLeod Medical Centers of NM IncGroup PAC ID 5092075531, 54 clinicians

Practice addresses (Care Compare)

11501 Montgomery Blvd NE
Albuquerque, NM 87111-2796
Phone (505) 281-5180

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
79282NMMDGeneral Practice Registered Nurse
84752NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Medical Centers of NM, Inc. CurrentSince Dec 15, 2025 Accepting new patients
McLeod Medical Centers of NM, Inc. CurrentSince Dec 15, 2025 Accepting new patients
Total Balance Healthcare, LLC Family CurrentSince Jun 29, 2025 Accepting new patients
Revitalized Natural Health Center PastSince Jun 29, 2025 Accepting new patients

Locations

4410 Irving Blvd NW
Ste 100
Albuquerque, NM 87114

8417 Washington Pl NE
Ste A
Albuquerque, NM 87113
Phone (505) 273-9453

11501 Montgomery Blvd NE
Albuquerque, NM 87111
Phone (505) 814-1333

3121 Carlisle Blvd NE
Albuquerque, NM 87110
Phone (505) 228-2108

7200 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 814-1995

1901 Juan Tabo Blvd NE
Albuquerque, NM 87112
Phone (505) 262-9200

12127 N State Highway 14
Ste 5
Cedar Crest, NM 87008
Phone (505) 281-2460

1851 Old US 66
Edgewood, NM 87015
Phone (505) 281-8463

1202 Main St NE
Ste A
Los Lunas, NM 87031
Phone (505) 565-0070

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10671/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1750982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1821986605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8417 WASHINGTON PL NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131720",
            "telephone_number": "505-273-9453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8417 WASHINGTON PL NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131720",
            "telephone_number": "505-273-9453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11501 Montgomery Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871112796",
            "country_code": "US",
            "telephone_number": "505-281-5180",
            "fax_number": "505-702-8171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLBATH",
        "first_name": "KORI",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-27",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NM",
            "license": "79282",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "84752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.