Pinon Family Practice PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PINON FAMILY PRACTICE PC

Practice address

2300 E 30TH St
BLDG C-2
Farmington, NM 87401-8990

Phone

(505) 324-1000

Fax

(505) 324-1199

NPI assigned

Aug 18, 2006

Last updated

Jun 26, 2023By 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

Adana Mohler

Title

Clinic Manager

Phone

(505) 324-1000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13887/brand/1/csg/1/fhir/r4

Practitioners 14

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.

• Holly Abernethy, M.D.

  • Family Medicine Physician
  • Farmington, NM
  • NPI 1801836523
  Medicare reassignment Care Compare group NPD
• Ronald Bliss, MD

  • Family Medicine Physician
  • Farmington, NM
  • NPI 1912985946
  Medicare reassignment Care Compare group NPD
• Heidi Cunningham, CNP

  • Family Nurse Practitioner
  • Farmington, NM
  • NPI 1821565243
  Medicare reassignment Care Compare group NPD
• Sean Faherty, MD

  • Family Medicine Physician
  • Farmington, NM
  • NPI 1174501191
  Medicare reassignment Care Compare group NPD
• Maria R King, FNP-C

  • Nurse Practitioner
  • Farmington, NM
  • NPI 1497369862
  Medicare reassignment Care Compare group NPD
• Megan Jaylyn Velasquez-Baca, MSN-APRN

  • Family Nurse Practitioner
  • Blanco, NM
  • NPI 1710580865

  Family Medicine

  Medicare reassignment Care Compare group NPD
• William Young, M.D.

  • Family Medicine Physician
  • Farmington, NM
  • NPI 1932557154

  Single Specialty

  Medicare reassignment Care Compare group NPD
• John Winston Butler, PA-C

  • Physician Assistant
  • Farmington, NM
  • NPI 1285100453
  Medicare reassignment Care Compare group
• William Young, PA-C

  • Physician Assistant
  • Farmington, NM
  • NPI 1902884935
  Medicare reassignment Care Compare group
• David Homer, MD

  • Family Medicine Physician
  • Farmington, NM
  • NPI 1295738656
  Medicare reassignment NPD
• Annette Randlemon, CNP

  • Family Nurse Practitioner
  • Farmington, NM
  • NPI 1366468159
  Medicare reassignment NPD
• R Stephen Rankin, MD

  • Pediatrics Physician
  • Farmington, NM
  • NPI 1265527642
  Medicare reassignment NPD

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1598879652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 E 30TH ST",
            "address_2": "BLDG C-2",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018990",
            "telephone_number": "505-324-1000",
            "fax_number": "505-324-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 E 30TH ST",
            "address_2": "BLDG C-2",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018990",
            "telephone_number": "505-324-1000",
            "fax_number": "505-324-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINON FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "MOHLER",
        "authorized_official_first_name": "ADANA",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "505-324-1000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phlebo Mobile LLC
• Noreen J Pichardo, MSW
• Mary Pickard, PA-C
• Casey Blue Pike, PSR
• Zoe Celeste Pinckley
• Pinon Healthcare, LLC
• Pinon Hills Dental
• Pinon Hills Ear Nose and Throat Associates PA
• Pinon Hills Optical Inc
• Pinon Rose Counseling

• Family Medicine Physician in Farmington, NM
• Providers in Farmington, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.