Active NPI
Cheryl Renee Brubaker, DNP, FNP-BC
- Family Nurse Practitioner
- Albuquerque, NM
National Provider Identifier
1982712048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP00258
- Practice address
- 3217 Cardenas Dr NE
Albuquerque, NM 87110-2540 - Phone
- (505) 280-6246
- NPI assigned
- Aug 29, 2006
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP00258 | NM | Primary |
| Registered Nurse | 163W00000X | R18198 | NM |
Addresses
Primary practice location
3217 Cardenas Dr NE
Albuquerque, NM 87110-2540
Mailing address
3217 Cardenas Dr NE
Albuquerque, NM 87110-2540
Phone (505) 280-6246
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46830383 | Medicaid | NM | |
| NM006A84 | Other | NM | BCBS OF NM |
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 |
|---|---|---|---|
| R18198 | NM | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437436800000",
"number": "1982712048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3217 CARDENAS DR NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871102540",
"telephone_number": "505-280-6246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3217 CARDENAS DR NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871102540",
"telephone_number": "505-280-6246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUBAKER",
"first_name": "CHERYL",
"middle_name": "RENEE",
"name_prefix": "Dr.",
"credential": "DNP, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2015-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "CNP00258",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NM",
"license": "R18198",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "46830383",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NM",
"identifier": "NM006A84",
"state": "NM"
}
],
"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 Jul 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.