Active NPI
Andrea Cetera-Jines
- Case Manager/Care Coordinator
- Albuquerque, NM
National Provider Identifier
1992129209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- FA0083460
- Practice address
- 1109 Granite Ave NW
Albuquerque, NM 87102-1851 - Phone
- (505) 508-5292
- Fax
- (505) 214-5386
- NPI assigned
- Feb 6, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | FA0083460 | NM | Primary |
Addresses
Primary practice location
1109 Granite Ave NW
Albuquerque, NM 87102-1851
Mailing address
1109 Granite Ave NW
Albuquerque, NM 87102-1851
Phone (505) 508-5292
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FA0083460 | NM | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391644800000",
"number": "1992129209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1109 GRANITE AVE NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871021851",
"telephone_number": "505-508-5292",
"fax_number": "505-214-5386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1109 GRANITE AVE NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871021851",
"telephone_number": "505-508-5292",
"fax_number": "505-214-5386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CETERA-JINES",
"first_name": "ANDREA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-06",
"last_updated": "2014-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NM",
"license": "FA0083460",
"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 Feb 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.