Patricia Conkling CNP LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

R23886 Issued in NM

Legal business name

PATRICIA CONKLING CNP LLC

Practice address

4200 Meadowlark LN SE
Suite 2
Rio Rancho, NM 87124-1050

Phone

(505) 981-9990

Fax

(505) 891-9007

NPI assigned

May 30, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Patricia Conkling, CNP

Title

Certified Nurse Practitioner

Phone

(505) 891-9990

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MEADOWLARK FAMILY HEALTHCARE Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1023219680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 MEADOWLARK LN SE",
            "address_2": "SUITE 2",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241050",
            "telephone_number": "505-981-9990",
            "fax_number": "505-891-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 MEADOWLARK LN SE",
            "address_2": "SUITE 2",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241050",
            "telephone_number": "505-981-9990",
            "fax_number": "505-891-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA CONKLING CNP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "CONKLING",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CERTIFIED NURSE PRACTITIONER",
        "authorized_official_telephone_number": "505-891-9990",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NM",
            "license": "R23886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N4251",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEADOWLARK FAMILY HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashlyn Parks, LCSW
• Jesse Parrish, ED.S
• Sri Rama Krishna Benerji Paruchuri, M.D
• Passport Health Holdings, LLC
• Aneri Patel, M.D.
• Erin Patrick
• Lori E Paul, CCC-SLP
• Vanessa E Paul, LMSW
• Kerri Payne
• Peak Medical New Mexico No. 3 LLC

• Primary Care Clinic/Center in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Primary Care Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.