Active NPI
Marybeth Anna Valentine, RN
- Advanced Practice Midwife
- Albuquerque, NM
National Provider Identifier
1922804103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 935
- Practice address
- 4701 Montgomery Blvd NE
Albuquerque, NM 87109-1219 - Phone
- (505) 727-7800
- NPI assigned
- Feb 20, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | NUR-RN-LIC-178322 | MT | |
| Advanced Practice Midwife | 367A00000X | 935 | NM | Primary |
Addresses
Primary practice location
4701 Montgomery Blvd NE
Albuquerque, NM 87109-1219
Mailing address
PO Box 973
Troy, MT 59935-0973
Phone (406) 396-5314
Other practice location 1
800 W 5th Ave
Spokane, WA 99204-2803
Phone (509) 603-7101
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260622001195 | NM | Practitioner - Certified Nurse Midwife (CNM) | 0143793216 |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4101 Indian School Rd NE
Albuquerque, NM 87110-3991
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NUR-RN-LIC-178322 | MT | MD | Emergency Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781049600000",
"number": "1922804103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 973",
"city": "TROY",
"state": "MT",
"postal_code": "599350973",
"telephone_number": "406-396-5314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 MONTGOMERY BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871091219",
"telephone_number": "505-727-7800"
}
],
"practiceLocations": [
{
"address_1": "800 W 5th Ave",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992042803",
"country_code": "US",
"telephone_number": "509-603-7101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VALENTINE",
"first_name": "MARYBETH",
"middle_name": "ANNA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-20",
"last_updated": "2026-06-10",
"certification_date": "2026-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "MT",
"license": "NUR-RN-LIC-178322",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NM",
"license": "935",
"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 Jun 10, 2026; 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.