Organization Active NPI

New Mexico Health Care Clinicians LLC

  • Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1467936187
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
NEW MEXICO HEALTH CARE CLINICIANS LLC
Practice address
3911 4TH St NW Ste a
Albuquerque, NM 87107-2510
Phone
(505) 345-3800
NPI assigned
Sep 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Authorized official

Name
Gemini Martinez-Kline
Title
Director
Phone
(505) 554-0413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

3911 4TH St NW Ste a
Albuquerque, NM 87107-2510

Mailing address

1712 Canyon Rd
Santa Fe, NM 87501-6249
Phone (505) 554-0413

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537228800000",
    "number": "1467936187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 CANYON RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875016249",
            "telephone_number": "505-554-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 4TH ST NW STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871072510",
            "telephone_number": "505-345-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO HEALTH CARE CLINICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-09-18",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ-KLINE",
        "authorized_official_first_name": "GEMINI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "505-554-0413"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.