Active NPI
Anna Padilla, RN
- Family Nurse Practitioner
- Rio Rancho, NM
National Provider Identifier
1881337350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN79472
- Practice address
- 4101 Barbara Loop SE Ste C
Rio Rancho, NM 87124-1011 - Phone
- (505) 315-3541
- Fax
- (505) 445-4904
- NPI assigned
- Apr 13, 2022
- Sex
- Female
- Sole proprietor
- No
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 | RN79472 | NM | Primary |
Addresses
Primary practice location
4101 Barbara Loop SE Ste C
Rio Rancho, NM 87124-1011
Mailing address
PO Box 45681
Rio Rancho, NM 87174-5681
Phone (505) 226-1960
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN79472 | NM | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649808000000",
"number": "1881337350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 45681",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871745681",
"telephone_number": "505-226-1960",
"fax_number": "505-672-7769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 BARBARA LOOP SE STE C",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871241011",
"telephone_number": "505-315-3541",
"fax_number": "505-445-4904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADILLA",
"first_name": "ANNA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-13",
"last_updated": "2022-04-13",
"certification_date": "2022-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "RN79472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.