Organization Active NPI

Mindy Estella Villa

Doing business as Sunland Clinic LLC

  • Primary Care Clinic/Center
  • Sunland Park, NM
National Provider Identifier
1518607258
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MINDY ESTELLA VILLA
Doing business as
Sunland Clinic LLC
Practice address
1155 McNutt Rd Ste 104
Sunland Park, NM 88063-9176
Phone
(915) 202-4463
NPI assigned
Mar 30, 2022
Last updated
Jan 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Authorized official

Name
Mindy Villa, ANP-BC
Title
President
Phone
(915) 202-4463

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1155 McNutt Rd Ste 104
Sunland Park, NM 88063-9176

Mailing address

1155 McNutt Rd Ste 104
Sunland Park, NM 88063-9176
Phone (915) 202-4463

Other names 1

  • Sunland Clinic LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1155 McNutt Rd
Ste 104
Sunland Park, NM 88063
Phone (575) 332-9093

NPI Registry JSON

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1518607258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MCNUTT RD STE 104",
            "city": "SUNLAND PARK",
            "state": "NM",
            "postal_code": "880639176",
            "telephone_number": "915-202-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 MCNUTT RD STE 104",
            "city": "SUNLAND PARK",
            "state": "NM",
            "postal_code": "880639176",
            "telephone_number": "915-202-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDY ESTELLA VILLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-30",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "VILLA",
        "authorized_official_first_name": "MINDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-202-4463",
        "authorized_official_credential": "ANP-BC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunland Clinic LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sunland Park, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.