Organization Active NPI

Strong Roots Family Clinic LLC

  • Family Nurse Practitioner
  • Carlsbad, NM
National Provider Identifier
1043164254
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
STRONG ROOTS FAMILY CLINIC LLC
Practice address
3113 National Parks Hwy Ste 3
Carlsbad, NM 88220-5697
Phone
(575) 234-0211
NPI assigned
Feb 24, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Authorized official

Name
Nicole Dyan Chavez, FNP-CNPI 1265150866
Title
Family Nurse Practitioner
Phone
(515) 210-3723

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

3113 National Parks Hwy Ste 3
Carlsbad, NM 88220-5697

Mailing address

3113 National Parks Hwy Ste 3
Carlsbad, NM 88220-5697
Phone (575) 234-0211

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2341720Strong Roots Family Clinic3113 National Parks Highway Ste #3, Carlsbad, NM 88220Certificate of waiverApr 6, 2028

National Provider Directory

National Provider Directory

Locations

3113 National Parks Hwy
Ste 3
Carlsbad, NM 88220
Phone (575) 234-0211

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1771891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771891200000",
    "number": "1043164254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 NATIONAL PARKS HWY STE 3",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882205697",
            "telephone_number": "575-234-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3113 NATIONAL PARKS HWY STE 3",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882205697",
            "telephone_number": "575-234-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRONG ROOTS FAMILY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-24",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "DYAN",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "515-210-3723",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.