Individual provider Active NPI

Janette Katherine Kottong, MSN, RN, FNP-BC

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1881979680
Registry record updated Apr 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP-01866 Issued in NM
Practice address
8725 Alameda Park Dr NE
Albuquerque, NM 87113-2475
Phone
(505) 331-8481
NPI assigned
Oct 13, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP-01866 NM Primary

Addresses

Primary practice location

8725 Alameda Park Dr NE
Albuquerque, NM 87113-2475

Mailing address

8725 Alameda Park Dr NE
Albuquerque, NM 87113-2475
Phone (505) 828-0232

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)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
CNP-01866NMMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1881979680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8725 ALAMEDA PARK DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871132475",
            "telephone_number": "505-828-0232",
            "fax_number": "505-823-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8725 ALAMEDA PARK DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871132475",
            "telephone_number": "505-331-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTTONG",
        "first_name": "JANETTE",
        "middle_name": "KATHERINE",
        "credential": "MSN, RN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-13",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-01866",
            "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 Apr 7, 2023; 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.