1. Home
  2. Directory
  3. New Mexico
  4. Albuquerque
  5. Clinical Nurse Specialist
  6. NPI Profile

DEITRA GATES CNS
NPI 1366865560
Clinical Nurse Specialist - Adult Health in Albuquerque, NM

Active since January 24, 2014
610 BROADWAY BLVD NE, ALBUQUERQUE, NM 87102(505) 242-3991(505) 243-8405 Get Directions Write a Review

NPPES record last updated: July 21, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Deitra Gates Cns NPPES

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

DEITRA GATES CNS (NPI 1366865560) is an individual adult health provider in Albuquerque, New Mexico, licensed in New Mexico (CNS-00245) and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1366865560
Entity TypeIndividualFemale
Primary Taxonomy364SA2200X
Provider Legal NameDEITRA GATESCredential: CNS
Location Address610 BROADWAY BLVD NEAlbuquerque, NM 87102-2372
Mailing Address610 Broadway Blvd NeAlbuquerque, NM 87102-2372 · (505) 242-3991 · Fax (505) 243-8405
Phone(505) 242-3991
Fax(505) 243-8405
Sole ProprietorNo
Enumeration DateJanuary 24, 2014
Last NPPES UpdateJuly 21, 2014
✔ NPI 1366865560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SA2200X
License✔ Licensed in NM · CNS-00245
610 BROADWAY BLVD NE, Albuquerque, NM 87102
Open in Google Maps ↗

Other Identifiers 1

Medicaid97304077NM

Other Providers at the Same Location NPPES 15

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

DERMATOLOGY OF NEW MEXICO LLC
Clinic/Center
610 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 225-2500
DR. PETER ABRAHAM HEADLEY M.D.
Urology
610 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 242-3991
DR. VAUN TAYLOR FLOYD JR. M.D.
Urology
610 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 242-3991
ALBUQUERQUE UROLOGY ASSOCIATES, PA
Urology
610 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 242-3991
BRADLEY WALTERS PAC
Physician Assistant
610 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 225-2500
DR. STEFAN H. GUTOW M.D.
Specialist
610 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 242-3991
SHELLY ANN MINISH PA-C
Physician Assistant (Medical)
610 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 242-3991
JAMIE F EDENS PA-C
Physician Assistant (Medical)
610 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 242-3991

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 Deitra Gates's NPI number?

The NPI number for Deitra Gates is 1366865560. It was assigned to this individual provider in the NPPES registry on January 24, 2014.

Where is Deitra Gates located?

Deitra Gates practices at 610 Broadway Blvd NE, Albuquerque, NM 87102. The listed phone number is (505) 242-3991.

What is Deitra Gates's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Adult Health, with taxonomy code 364SA2200X.

When was this NPI record last updated?

The NPPES record for Deitra Gates was last updated on July 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.