Individual provider Active NPI

Brenda Jo Neikirk, RN FNP-BC

  • Family Health Clinical Nurse Specialist
  • Santa Fe, NM
National Provider Identifier
1932469210
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
CNP-02472 Issued in NM
Practice address
2055 S Pacheco St Ste 300
Santa Fe, NM 87505-0504
Phone
(505) 984-2300
Fax
(505) 988-1940
NPI assigned
May 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 517 NM
Family Health Clinical Nurse Specialist 364SF0001X CNP-02472 NM Primary

Addresses

Primary practice location

2055 S Pacheco St Ste 300
Santa Fe, NM 87505-0504

Mailing address

2055 S Pacheco St Ste 300
Santa Fe, NM 87505-0504
Phone (505) 984-2300

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 Midwife, Registered Nurse

State licenses

LicenseStateTypeSpecialty
517NMMDSpeech-Language Pathologist
CNP-02472NMMDFamily Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Cochiti Health Clinic Past Accepting new patients
Santo Domingo Health Clinic Past Accepting new patients
San Felipe Health Clinic Past Accepting new patients
Santa Clara Health Center PastSince Jan 19, 2012 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bneikirk164830@direct.tmfhs.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1932469210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 S PACHECO ST STE 300",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875050504",
            "telephone_number": "505-984-2300",
            "fax_number": "505-988-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 S PACHECO ST STE 300",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875050504",
            "telephone_number": "505-984-2300",
            "fax_number": "505-988-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIKIRK",
        "first_name": "BRENDA",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "RN FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-21",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NM",
            "license": "517",
            "primary": false
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "NM",
            "license": "CNP-02472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.