| NPI | 1134850779 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2022-06-23 |
| Last Updated | 2022-06-23 |
| Mailing Address | 4101 Central Ave Ne Apt 3005 Albuquerque, NM 87108-1961 United States Phone: (423) 483-4310 📍 View Map |
| Primary Practice Address | 5310 Homestead Rd Ne Bldg 4 Albuquerque, NM 87110-1524 United States Phone: (505) 256-3648 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 363LF0000X – Nurse Practitioner, Family | NM | 68592 |
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →
About NPI 1134850779
Roberta Champouillon NP is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1134850779. The primary specialty listed is Nurse Practitioner, Family. The provider is located in Albuquerque, NM. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2022-06-23. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1134850779?
NPI 1134850779 belongs to Roberta Champouillon NP, a Nurse Practitioner, Family in Albuquerque, NM. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1134850779 active?
The current status of NPI 1134850779 in the NPPES registry is Active. The record was last updated on 2022-06-23.
What specialty is NPI 1134850779?
NPI 1134850779 is classified under the taxonomy Nurse Practitioner, Family. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1134850779?
You can verify NPI 1134850779 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1134850779?
The primary practice address on file for NPI 1134850779 is 5310 Homestead Rd Ne Bldg 4, Albuquerque, NM 87110-1524. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1134850779 issued?
NPI 1134850779 was first issued (enumerated) on 2022-06-23. The NPPES record was last updated on 2022-06-23.
Practice Location Map
Roberta Champouillon is located at 5310 Homestead Rd Ne Bldg 4, Albuquerque, NM. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Roberta Champouillon. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1134850779. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Nurse Practitioner, Family | 68592 | NM |