Individual provider Active NPI

Debra Stanger, R.N.

  • Psychiatric/Mental Health Registered Nurse
  • Albuquerque, NM
National Provider Identifier
1932372935
Registry record updated May 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
R31468 Issued in NM
Practice address
8605 Vineyard Ridge Rd NE
Albuquerque, NM 87122-2623
Phone
(505) 620-6389
NPI assigned
Apr 10, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X R31468 NM Primary

Addresses

Primary practice location

8605 Vineyard Ridge Rd NE
Albuquerque, NM 87122-2623

Mailing address

PO Box 92541
Albuquerque, NM 87199-2541
Phone (505) 620-6389

Other identifiers 2

IdentifierTypeStateIssuer
CNP-01597OtherNMPSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER - BC
R31468OtherNMREGISTERED NURSE

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
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
R31468NMMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431129600000",
    "number": "1932372935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92541",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871992541",
            "telephone_number": "505-620-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8605 VINEYARD RIDGE RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871222623",
            "telephone_number": "505-620-6389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANGER",
        "first_name": "DEBRA",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2015-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NM",
            "license": "R31468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER - BC",
            "identifier": "CNP-01597",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "R31468",
            "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 May 9, 2015; 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.