Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathryn Whittaker, AGACNP-BC

Individual provider Gerontology Nurse Practitioner · NPI 1396574380

Kathryn Whittaker, AGACNP-BC is a Nurse Practitioner in Albuquerque, New Mexico. Qualified in 2024, 2 years ago. Practices with Southwest Kidney Care, LLC, a 9-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Mexico.

Years since qualifying
2
Licensed in
NM
In the registry since
2024

Practice location Address checks out

5981 Jefferson St NE Ste A
Albuquerque, NM 87109-3457
Phone: (505) 370-9600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 55280 (NM)

Record details

NPI number1396574380
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedJuly 29, 2024
Last updated in NPPESJuly 29, 2024
Certification dateJuly 29, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Southwest Kidney Care, Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Albuquerque