NPIMap

Organization Active NPI

Diabetes Network, Inc.

  • Medical-Surgical Clinical Nurse Specialist
  • Albuquerque, NM
National Provider Identifier
1861540148
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Clinical Nurse SpecialistTaxonomy code 364SM0705X
Legal business name
DIABETES NETWORK, INC.
Practice address
4108 Alcazar St NE
Albuquerque, NM 87109-1809
Phone
(505) 830-0100
Fax
(505) 830-4199
NPI assigned
Jan 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Catherine Anne Gray, CNS, BC-ADM, CDENPI 1558419887
Title
Co-Owner, Cfo, Coo
Phone
(505) 830-0100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SM0705X Primary

Addresses

Primary practice location

4108 Alcazar St NE
Albuquerque, NM 87109-1809

Mailing address

4108 Alcazar St NE
Albuquerque, NM 87109-1809
Phone (505) 830-0100

Other identifiers 1

IdentifierTypeStateIssuer
R79BOtherNMBCBS PROVIDER NUM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861540148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4108 ALCAZAR ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091809",
            "telephone_number": "505-830-0100",
            "fax_number": "505-830-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4108 ALCAZAR ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091809",
            "telephone_number": "505-830-0100",
            "fax_number": "505-830-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CO-OWNER, CFO, COO",
        "authorized_official_telephone_number": "505-830-0100",
        "authorized_official_credential": "CNS, BC-ADM, CDE"
    },
    "taxonomies": [
        {
            "code": "364SM0705X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Medical-Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUM",
            "identifier": "R79B",
            "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 Aug 22, 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.