Active NPI
Dawn Kristin Bustamante, FNP-BC
- Family Nurse Practitioner
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP-02876
- Practice address
- 801 Encino Place NE
Suite A6
Albuquerque, NM 87102 - Phone
- (575) 636-3594
- NPI assigned
- Mar 9, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP-02876 | NM | Primary |
Addresses
Primary practice location
801 Encino Place NE
Suite A6
Albuquerque, NM 87102
Mailing address
801 Encino PL NE Ste A6
Albuquerque, NM 87102-2641
Phone (505) 224-7400
Other practice location 1
1625 Rio Bravo Blvd SW Ste 36
Albuquerque, NM 87105-6060
Phone (505) 777-3004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 Sheep Springs
Jemez Pueblo, NM 87024
Phone (575) 834-7413
110 Sheep Springs
Jemez Pueblo, NM 87024-0279
1625 Rio Bravo Blvd SW
36 Oak Street Health Rio Bravo
Albuquerque, NM 87105-6060
Phone (505) 777-3004
4208 Central Ave SW G
Oak Street Health Atrisco
Albuquerque, NM 87105-1695
Phone (505) 777-3001
P O Box
Jemez Pueblo, NM 87024-0279
PO Box
Jemez Pueblo, NM 87024
PO Box
Jemez Pueblo, NM 87024-0279
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP-02876 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oak Street Health Physicians Group of New Mexico LLC | Family | Current | Accepting new patients |
| First Choice Community Healthcare, Inc. | Current | Accepting new patients |
Locations
4208 Central Ave SW
Ste G
Albuquerque, NM 87105
Phone (505) 777-3001
1625 Rio Bravo Blvd SW
Ste 36
Albuquerque, NM 87105
Phone (505) 777-3004
2001 El Centro Familiar Blvd SW
Albuquerque, NM 87105
Phone (505) 873-7462
Organizations & group practices 3
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.
-
- Primary Care Clinic/Center
- Albuquerque, NM
- NPI 1134793151
Family
-
- Federally Qualified Health Center (FQHC)
- Albuquerque, NM
- NPI 1902993132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759708800000",
"number": "1851752497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 ENCINO PL NE STE A6",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871022641",
"telephone_number": "505-224-7400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 ENCINO PLACE NE",
"address_2": "SUITE A6",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87102",
"telephone_number": "575-636-3594"
}
],
"practiceLocations": [
{
"address_1": "1625 Rio Bravo Blvd SW Ste 36",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871056060",
"country_code": "US",
"telephone_number": "505-777-3004",
"fax_number": "505-808-4990",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUSTAMANTE",
"first_name": "DAWN",
"middle_name": "KRISTIN",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-09",
"last_updated": "2025-10-06",
"certification_date": "2025-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "CNP-02876",
"primary": true
}
],
"identifiers": [],
"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 Oct 6, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.