Individual provider Active NPI

Debra Tousley, RD, LD

  • Registered Dietitian
  • Albuquerque, NM
National Provider Identifier
1962509380
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
390 Issued in NM
Practice address
4710 Jefferson St NE
Albuquerque, NM 87109-2155
Phone
(505) 955-9454
Fax
(505) 888-9644
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 390 NM Primary

Addresses

Primary practice location

4710 Jefferson St NE
Albuquerque, NM 87109-2155

Mailing address

PO Box 6880
Santa Fe, NM 87502-6880
Phone (505) 216-0332

Other practice location 1

1090 Goat Springs Road
Taos Picuris Indian Health Center
Taos, NM 87571
Phone (505) 758-4224

Other practice location 2

649 Harkle Rd Ste E
Santa Fe, NM 87505-4765
Phone (505) 955-9454

Other identifiers 1

IdentifierTypeStateIssuer
859481OtherADA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041027000146 NM Practitioner - Registered Dietitian Or Nutrition Professional 7416919014 Reassigns benefits to 1 organization
I20080220000297 TX Practitioner - Registered Dietitian Or Nutrition Professional 7416919014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Care CenterGroup PAC ID 8921043035, shared by 2 NPIs, 28 clinicians

Practice addresses (Care Compare)

649 Harkle Rd
Santa Fe, NM 87505-4765
Phone (505) 955-9454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
390NMMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Care Center CurrentSince Mar 18, 2024 Accepting new patients
Pueblo of Jemez CurrentSince Oct 7, 2020 Accepting new patients
Southwest Care Center CurrentSince Mar 18, 2024 Accepting new patients
Pueblo of Jemez CurrentSince Oct 7, 2020 Accepting new patients
Southwest Care Center Jefferson Albuquerque Past Accepting new patients

Locations

4710 Jefferson St NE
Albuquerque, NM 87109
Phone (505) 883-1259

649 Harkle Rd
Ste E
Santa Fe, NM 87505
Phone (505) 955-9454

Interoperability endpoints

  • Direct secure messaging: debra.tousley.1@19212.direct.athenahealth.com

Organizations & group practices 5

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1962509380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6880",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875026880",
            "telephone_number": "505-216-0332",
            "fax_number": "505-982-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 JEFFERSON ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092155",
            "telephone_number": "505-955-9454",
            "fax_number": "505-888-9644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1090 Goat Springs Road",
            "address_2": "Taos Picuris Indian Health Center",
            "address_purpose": "LOCATION",
            "city": "Taos",
            "state": "NM",
            "postal_code": "87571",
            "country_code": "US",
            "telephone_number": "505-758-4224",
            "fax_number": "505-751-5211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "649 Harkle Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875054765",
            "country_code": "US",
            "telephone_number": "505-955-9454",
            "fax_number": "505-216-9067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOUSLEY",
        "first_name": "DEBRA",
        "name_prefix": "Mrs.",
        "credential": "RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NM",
            "license": "390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADA LICENSE",
            "identifier": "859481",
            "state": null
        }
    ],
    "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 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.