Individual provider Active NPI

Kathleen Florence Bustos-Garcia

  • Case Manager/Care Coordinator
  • Rio Rancho, NM
National Provider Identifier
1982905196
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
4311 Sara Rd SE Ste 105
Rio Rancho, NM 87124-1524
Phone
(505) 896-1310
Fax
(505) 896-2454
NPI assigned
Nov 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

4311 Sara Rd SE Ste 105
Rio Rancho, NM 87124-1524

Mailing address

4311 Sara Rd SE Ste 105
Rio Rancho, NM 87124-1524

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288828800000",
    "number": "1982905196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 SARA RD SE STE 105",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 SARA RD SE STE 105",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241524",
            "telephone_number": "505-896-1310",
            "fax_number": "505-896-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTOS-GARCIA",
        "first_name": "KATHLEEN",
        "middle_name": "FLORENCE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-04",
        "last_updated": "2010-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.