Mountain Peak Wellness Center LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MOUNTAIN PEAK WELLNESS CENTER LLC

Practice address

6916 Welton Dr NE
Albuquerque, NM 87109-4082

Phone

(970) 585-4619

NPI assigned

Aug 12, 2025

Organization subpart

No

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

Authorized official

Name

Rosana WarrenNPI 1144115668

Title

Owner

Phone

(970) 585-4619

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM, CO2 enrollments

Enrollment records 2

Practitioners 2

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

• Rosana A Warren

  • Family Nurse Practitioner
  • Pagosa Springs, CO
  • NPI 1144115668

  NM

  Medicare reassignment NPD Authorized official
• Nanahbah Kandice Duvall

  • Family Nurse Practitioner
  • Farmington, NM
  • NPI 1740170141
  Medicare reassignment NPD

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

{
    "created_epoch": "1754956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1316823883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8622 COUNTY ROAD 500",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811479601",
            "telephone_number": "970-585-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6916 WELTON DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094082",
            "telephone_number": "970-585-4619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8622 County Road 500",
            "address_purpose": "LOCATION",
            "city": "Pagosa Springs",
            "state": "CO",
            "postal_code": "811479601",
            "country_code": "US",
            "telephone_number": "970-585-4619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOUNTAIN PEAK WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-12",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "ROSANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-585-4619"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mountain Desert Health Clinic LLC
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• Mountain Pass Counseling, LLC
• Mountain Path Acupuncture and Chinese Medicine, LLC
• Mountain Star Chiropractic
• Mountain View Family Medicine LLC
• Mountain View Therapy Services, LLC
• Dominica Mountain, OTR/L
• Steven Philippe Moura, MD

• 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 Aug 12, 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.

Verify at the official NPI Registry.