Bellaluna Lil Light LLC/Dba Mountain Grit Wellness LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BELLALUNA LIL LIGHT LLC/DBA MOUNTAIN GRIT WELLNESS LLC

Doing business as

Mountain Grit Wellness

Practice address

3496 US Highway 82
Mayhill, NM 88339

Phone

(575) 687-4232

NPI assigned

Jan 9, 2025

Last updated

Jan 9, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

BELLALUNA LIL LIGHT LLC/ DBA MOUNTAIN GRIT WELLNESS LLCAs reported in NPPES

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

Authorized official

Name

Sharlene E. Rogers, CNPNPI 1336637354

Title

Owner/Manager/Provider

Phone

(575) 491-2310

Specialties & licenses 3

Addresses

Other names 1

• Mountain Grit Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Part of

Bellaluna Lil Light LLC

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.

• Sharlene Elizabeth Rogers, NP

  • Clinic/Center
  • Mayhill, NM
  • NPI 1336637354
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1736380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1336959667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22",
            "city": "MAYHILL",
            "state": "NM",
            "postal_code": "883390022",
            "telephone_number": "575-491-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3496 US HIGHWAY 82",
            "city": "MAYHILL",
            "state": "NM",
            "postal_code": "88339",
            "telephone_number": "575-687-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLALUNA LIL LIGHT LLC/DBA MOUNTAIN GRIT WELLNESS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BELLALUNA LIL LIGHT LLC/ DBA MOUNTAIN GRIT WELLNESS LLC",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "SHARLENE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER/MANAGER/PROVIDER",
        "authorized_official_telephone_number": "575-491-2310",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Grit Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharlene Elizabeth Rogers, NP

• Clinic/Center in Mayhill, NM
• Providers in Mayhill, NM by specialty
• Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.