Individual provider Active NPI

Kami Olguin, NP

  • Family Nurse Practitioner
  • Farmington, NM
National Provider Identifier
1225823255
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
83575 Issued in NM
Practice address
4337 E Main St Ste 202
Farmington, NM 87402-8634
Phone
(505) 326-1623
NPI assigned
Apr 10, 2025
Last updated
May 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 83575 NM Primary

Addresses

Primary practice location

4337 E Main St Ste 202
Farmington, NM 87402-8634

Mailing address

4337 E Main St Ste 202
Farmington, NM 87402-8634
Phone (505) 486-6979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250714000334 NM Practitioner - Nurse Practitioner 2163937822 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
83575NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pelle Laser Spa CurrentSince Apr 13, 2025 Accepting new patients
Reliance Medical Group LLC CurrentSince Apr 27, 2025 Accepting new patients

Locations

3451 N Butler Ave
Farmington, NM 87401
Phone (505) 566-1915

4337 E Main St
Ste 202
Farmington, NM 87402
Phone (505) 326-1623

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1225823255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4337 E MAIN ST STE 202",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874028634",
            "telephone_number": "505-486-6979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4337 E MAIN ST STE 202",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874028634",
            "telephone_number": "505-326-1623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLGUIN",
        "first_name": "KAMI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-10",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "83575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

Verify at the official NPI Registry.