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ADVANCED DIABETES CARE, LLC.
NPI 1366744229
Nurse Practitioner in Albuquerque, NM

Active since November 29, 2010
4425 JUAN TABO BLVD NE STE 103B, ALBUQUERQUE, NM 87111(505) 881-4648(505) 881-4694 Get Directions Write a Review

NPPES record last updated: July 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Advanced Diabetes Care, Llc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED DIABETES CARE, LLC. (NPI 1366744229) is a healthcare organization registered as a nurse practitioner in Albuquerque, New Mexico and active in the NPI registry since November 2010. The organization lists Julie D Krawchuck, Owner/cfnp, as its authorized official.

NPPES Registry Identity

NPI1366744229
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameADVANCED DIABETES CARE, LLC.
Location Address4425 JUAN TABO BLVD NE STE 103BAlbuquerque, NM 87111-2684
Mailing Address4425 Juan Tabo Blvd Ne Ste 103bAlbuquerque, NM 87111-2684 · (505) 881-4648 · Fax (505) 881-4694
Phone(505) 881-4648
Fax(505) 881-4694
Organization SubpartNo
Authorized OfficialJulie D KrawchuckOwner/cfnp · (505) 881-4648
Enumeration DateNovember 29, 2010
Last NPPES UpdateJuly 19, 2022
NPPES CertifiedJuly 19, 2022
✔ NPI 1366744229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4425 JUAN TABO BLVD NE STE 103B, Albuquerque, NM 87111
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Other Identifiers 1

Medicaid21682364NM

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIE D KRAWCHUCK CFNP
Nurse Practitioner (Family)
4425 JUAN TABO BLVD NE STE 103B
ALBUQUERQUE, NM 87111
Bernalillo County (505) 881-4648

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Diabetes Care, LLC.'s NPI number?

The NPI number for Advanced Diabetes Care, LLC. is 1366744229. It was assigned to this organization in the NPPES registry on November 29, 2010.

Where is Advanced Diabetes Care, LLC. located?

Advanced Diabetes Care, LLC. is located at 4425 Juan Tabo Blvd NE Ste 103B, Albuquerque, NM 87111. The listed phone number is (505) 881-4648.

What is Advanced Diabetes Care, LLC.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Advanced Diabetes Care, LLC. was last updated on July 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.