Katherine Choe Raver, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP-03063 Issued in NM

Practice address

8400 Osuna Rd NE Ste 5C
Albuquerque, NM 87111-2072

Phone

(505) 585-2345

Fax

(505) 800-5030

NPI assigned

Aug 2, 2013

Last updated

Sep 20, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2018 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Well Life Abq, LLC

  • Family Nurse Practitioner
  • Albuquerque, NM
  • NPI 1518568195
  NPD
• Well Life Abq, LLC

  • Family Nurse Practitioner
  • Albuquerque, NM
  • NPI 1992324149
  NPD

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600560000000",
    "number": "1942632765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 OSUNA RD NE STE 5C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112072",
            "telephone_number": "505-585-2345",
            "fax_number": "505-800-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 OSUNA RD NE STE 5C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112072",
            "telephone_number": "505-585-2345",
            "fax_number": "505-800-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVER",
        "first_name": "KATHERINE",
        "middle_name": "CHOE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-02",
        "last_updated": "2020-09-20",
        "certification_date": "2020-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-03063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ravago, D.M.D.
• Raven Counseling and Wellness LLC
• Denise M Raven, LISW
• Raja Ravender, MD
• Ravensnow L.L.C.
• Sahil Rawal, DO
• Christine L Rawlings, CNP
• Rawson Pediatric Dental Group (ABQ Pediatric Dentistry)
• Audrey Mae N Rawson, D.D.S.
• Emily Rawson

• Family Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2020; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.