Individual provider Active NPI

Kathleen Ann Kraft, FNP-BC

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1972619567
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R22638 Issued in NM
Practice address
3825 Eubank Blvd NE
Albuquerque, NM 87111-3575
Phone
(505) 292-8575
Fax
(052) 928-4095
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R22638 NM Primary

Addresses

Primary practice location

3825 Eubank Blvd NE
Albuquerque, NM 87111-3575

Mailing address

PO Box 537
Sandia Park, NM 87047-0537
Phone (575) 815-9224

Other identifiers 1

IdentifierTypeStateIssuer
82204080MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050317000937 NM Practitioner - Nurse Practitioner 7416906581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Medicine PCGroup PAC ID 0042407603, 10 clinicians

Practice addresses (Care Compare)

3825 Eubank Blvd NE
Suite a
Albuquerque, NM 87111-3559
Phone (505) 292-8575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R22638NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spencer J Hardenbrook MD PC CurrentSince Jun 5, 2022 Accepting new patients
New Mexico Home and Health Care Inc Current Accepting new patients
Family Medicine PC CurrentSince Nov 20, 2021 Accepting new patients
Lovelace Urgent Care, LLC CurrentSince Apr 1, 2025 Accepting new patients
Huffman Counseling and Wellness LLC PastSince Apr 1, 2024 Accepting new patients

Locations

3825 Eubank Blvd NE
Ste A
Albuquerque, NM 87111
Phone (505) 292-8575

3825 Eubank Blvd NE
Albuquerque, NM 87111
Phone (505) 292-8575

8201 Golf Course Rd NW
Ste A3
Albuquerque, NM 87120
Phone (505) 800-7070

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1972619567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 537",
            "city": "SANDIA PARK",
            "state": "NM",
            "postal_code": "870470537",
            "telephone_number": "575-815-9224",
            "fax_number": "505-286-7858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 EUBANK BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113575",
            "telephone_number": "505-292-8575",
            "fax_number": "052-928-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAFT",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "R22638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82204080",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.