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

Kenneth Paul Spart Jr., NP-C

Individual provider Family Nurse Practitioner · NPI 1508368820

Kenneth Paul Spart Jr., NP-C is a Nurse Practitioner in Albuquerque, New Mexico. Qualified in 2017, 9 years ago. Practices with Unm Hospital, a 397-clinician group and accepts Medicare assignment. Licensed in New Mexico and Tennessee.

Years since qualifying
9
Licensed in
NM, TN
In the registry since
2018
Specialties on file
3
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Phone: (505) 272-2111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 65612 (NM)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 23710 (TN)
Nurse Practitioner Taxonomy 363L00000X · Licence 23710 (TN)

Record details

NPI number1508368820
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorNo
NPI enumeratedMarch 2, 2018
Last updated in NPPESJune 22, 2023
Certification dateJune 22, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Unm Hospital — 397 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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