Organization Active NPI

M&K Health Care Clinics LLC

  • Family Nurse Practitioner
  • Rio Rancho, NM
National Provider Identifier
1487217782
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
M&K HEALTH CARE CLINICS LLC
Practice address
4351 Jager Dr NE Ste C
Rio Rancho, NM 87144-7527
Phone
(505) 867-4377
Fax
(505) 485-0555
NPI assigned
Apr 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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

Authorized official

Name
Michael Ray, FNP-BC
Title
Owner
Phone
(505) 867-4377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

4351 Jager Dr NE Ste C
Rio Rancho, NM 87144-7527

Mailing address

4351 Jager Dr NE Ste C
Rio Rancho, NM 87144-7527
Phone (505) 867-4377

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555891200000",
    "number": "1487217782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4351 JAGER DR NE STE C",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871447527",
            "telephone_number": "505-867-4377",
            "fax_number": "505-485-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 JAGER DR NE STE C",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871447527",
            "telephone_number": "505-867-4377",
            "fax_number": "505-485-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M&K HEALTH CARE CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-22",
        "last_updated": "2019-04-22",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-867-4377",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; 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.