Organization Active NPI

Healthnet Medical Family & Internal Medicine LLC

  • Family Nurse Practitioner
  • Chaparral, NM
National Provider Identifier
1609165067
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
658423 Issued in TX
Legal business name
HEALTHNET MEDICAL FAMILY & INTERNAL MEDICINE LLC
Practice address
300 McCombs Rd # 235
Chaparral, NM 88081-7937
Phone
(915) 920-7783
Fax
(866) 596-6125
NPI assigned
Apr 6, 2011
Last updated
Mar 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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

Authorized official

Name
Ms. Maria Adelina Frisbie-Veal, FNP-C
Title
Owner
Phone
(915) 920-7783

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP01432 NM
Family Nurse Practitioner 363LF0000X 658423 TX Primary

Addresses

Primary practice location

300 McCombs Rd # 235
Chaparral, NM 88081-7937

Mailing address

300 McCombs Rd # 235
Chaparral, NM 88081-7937
Phone (915) 920-7783

National Provider Directory

National Provider Directory

Locations

300 McCombs Rd
#235
Chaparral, NM 88081
Phone (915) 920-7783

5045 McNutt Rd
Santa Teresa, NM 88008
Phone (575) 589-3000

NPI Registry JSON

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1609165067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MCCOMBS RD # 235",
            "city": "CHAPARRAL",
            "state": "NM",
            "postal_code": "880817937",
            "telephone_number": "915-920-7783",
            "fax_number": "866-596-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MCCOMBS RD # 235",
            "city": "CHAPARRAL",
            "state": "NM",
            "postal_code": "880817937",
            "telephone_number": "915-920-7783",
            "fax_number": "866-596-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHNET MEDICAL FAMILY & INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "FRISBIE-VEAL",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ADELINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-920-7783",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP01432",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "658423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chaparral, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.