Active NPI
Curbside Wellness Clinic LLC
- Family Nurse Practitioner
- Clovis, NM
National Provider Identifier
1194553024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- CURBSIDE WELLNESS CLINIC LLC
- Practice address
- 921 E 21St St Ste E
Clovis, NM 88101-4443 - Phone
- (575) 221-9663
- NPI assigned
- Jul 23, 2024
- Last updated
- Oct 11, 2025
- Organization subpart
- Yes
- Parent organization
- CURRBSIDE WELLNESS CLINIC LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Simpson, FNP-C
- Title
- Owner/Nurse Practitioner
- Phone
- (575) 221-9663
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NU | Primary |
Addresses
Primary practice location
921 E 21St St Ste E
Clovis, NM 88101-4443
Mailing address
921 E 21St St Ste E
Clovis, NM 88101-4443
Phone (978) 259-3966
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- Curbside Wellness Clinic LLC
Locations
921 E 21st St
Ste E
Clovis, NM 88101
Phone (575) 221-9663
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Clovis, NM
- NPI 1528639200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760140800000",
"number": "1194553024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 E 21ST ST STE E",
"city": "CLOVIS",
"state": "NM",
"postal_code": "881014443",
"telephone_number": "978-259-3966",
"fax_number": "575-935-2412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 E 21ST ST STE E",
"city": "CLOVIS",
"state": "NM",
"postal_code": "881014443",
"telephone_number": "575-221-9663"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CURBSIDE WELLNESS CLINIC LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CURRBSIDE WELLNESS CLINIC LLC",
"enumeration_date": "2024-07-23",
"last_updated": "2025-10-11",
"certification_date": "2025-10-11",
"status": "A",
"authorized_official_last_name": "SIMPSON",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
"authorized_official_telephone_number": "575-221-9663",
"authorized_official_credential": "FNP-C"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clovis, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.