Modern Edge Family Practice LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MODERN EDGE FAMILY PRACTICE LLC

Practice address

2440 Louisiana Blvd NE Ste 200
Albuquerque, NM 87110-4400

Phone

(505) 370-9195

Fax

(505) 212-4007

NPI assigned

Aug 29, 2025

Organization subpart

No

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

Authorized official

Name

Ms. Sonya Walsh, CNPNPI 1619532066

Title

Owner/Nurse Practitioner

Phone

(505) 370-9195

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 2

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

• Sonya M Walsh, CNP

  • Family Nurse Practitioner
  • Albuquerque, NM
  • NPI 1619532066

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Ryan Asher

  • Family Nurse Practitioner
  • Albuquerque, NM
  • NPI 1124435235
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1756425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766188800000",
    "number": "1083593388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 LOUISIANA BLVD NE STE 200",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104400",
            "telephone_number": "505-370-9195",
            "fax_number": "505-212-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 LOUISIANA BLVD NE STE 200",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104400",
            "telephone_number": "505-370-9195",
            "fax_number": "505-212-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN EDGE FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-29",
        "last_updated": "2025-12-20",
        "certification_date": "2025-12-20",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "SONYA",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "505-370-9195",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Modern Surgical Center
• Modern Vascular - Navajo LLC

• Family Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.