Minuteclinic Diagnostic of New Mexico, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MINUTECLINIC DIAGNOSTIC OF NEW MEXICO, LLC

Practice address

4340 San Mateo Blvd NE
Albuquerque, NM 87110-1234

Phone

(855) 417-2486

NPI assigned

Apr 30, 2024

Last updated

Mar 4, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deborah Pincince

Title

Administrator

Phone

(401) 770-3813

Specialties & licenses 3

Addresses

Tax ID family

Minuteclinic Diagnostic of New Mexico LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Minuteclinic Diagnostic of New Mexico, LLC

  • Family Nurse Practitioner
  • Albuquerque, NM
  • NPI 1942949664
  NPD tax ID

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1396591228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR # MC2295",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 SAN MATEO BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101234",
            "telephone_number": "855-417-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINUTECLINIC DIAGNOSTIC OF NEW MEXICO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-30",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "PINCINCE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "401-770-3813"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry F Minoletti, PAC
• Sarah Anne Minor-Schaeuble
• Breanna Minor
• Erin Mintle, FNP
• Violet Hope Mintle
• Minuteclinic Diagnostic of New Mexico, LLC
• Minuteclinic Diagnostic of New Mexico, LLC
• Joanna Rull Mioduszewski
• Mathilde Elise Miquel, LCSW
• Fazia Ahmed Mir, M.D

• Clinical Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.