Active NPI
Elizabeth D Paterson, ACNP
- Acute Care Nurse Practitioner
- Albuquerque, NM
National Provider Identifier
1972577328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- CNP-01653
- Practice address
- 303 San Mateo Blvd NE
Albuquerque, NM 87108-1382 - Phone
- (505) 808-2870
- Fax
- (505) 322-2709
- NPI assigned
- Feb 14, 2006
- Last updated
- Jun 10, 2024
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 167585 | CO | |
| Acute Care Nurse Practitioner | 363LA2100X | CNP-01653 | NM | Primary |
Addresses
Primary practice location
303 San Mateo Blvd NE
Albuquerque, NM 87108-1382
Mailing address
303 San Mateo Blvd NE Ste 104
Albuquerque, NM 87108-1382
Phone (505) 808-2870
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 167585 | CO | MD | Acute Care Nurse Practitioner |
| CNP-01653 | NM | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bosque Trails Hospice LLC | Current | Accepting new patients |
Locations
303 San Mateo Blvd NE
Albuquerque, NM 87108
Phone (505) 382-4744
303 San Mateo Blvd NE
#104
Albuquerque, NM 87108
Phone (505) 205-8018
Organizations & group practices 1
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.
-
- Community Based Hospice Care Agency
- Albuquerque, NM
- NPI 1104563923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1972577328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 SAN MATEO BLVD NE STE 104",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871081382",
"telephone_number": "505-808-2870",
"fax_number": "505-322-2709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 SAN MATEO BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871081382",
"telephone_number": "505-808-2870",
"fax_number": "505-322-2709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATERSON",
"first_name": "ELIZABETH",
"middle_name": "D",
"credential": "ACNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-14",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CO",
"license": "167585",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NM",
"license": "CNP-01653",
"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, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.