Ahnu Celtic Oasis LLC

Organization Active NPI Nurse Practitioner · Farmington, NM

NPI 1629866058 · NPPES record last updated Jun 25, 2026

Key facts

NPI
1629866058
Entity type
Organization (NPI type 2)
Primary specialty
Nurse Practitioner 363L00000X
Legal business name
AHNU CELTIC OASIS LLC
Practice address
231 N Schwartz Ave
Farmington, NM 87401-5513
Phone
(505) 800-5848
Fax
(505) 209-8923
NPI assigned
Apr 26, 2025
Organization subpart
No

Authorized official

Name
Sydney T Poe
Title
Co-Owner/Manager
Phone
(505) 458-6805

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NM

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20260622001467 NM Part B Supplier - Clinic/Group Practice 7416420591 Receives reassigned benefits from 1 practitioner
Practice locations: Farmington, NM

National Provider Directory

Locations

231 N Schwartz Ave
Farmington, NM 87401
Phone (505) 716-8394

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YA0400X
Mental Health Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YM0800X
Clinical Social Worker
Group: 193200000X MULTI-SPECIALTY GROUP
1041C0700X
Reflexologist
Group: 193200000X MULTI-SPECIALTY GROUP
173C00000X
Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363L00000X Yes
Adult Health Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LA2200X
Psychiatric/Mental Health Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LP0808X
Primary Care Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LP2300X

Addresses

Primary practice location

231 N Schwartz Ave
Farmington, NM 87401-5513

Mailing address

231 N Schwartz Ave
Farmington, NM 87401-5513
Phone (505) 458-6805

Other identifiers

IdentifierTypeStateIssuer
N0055279MedicaidNM

Other providers in Farmington, NM

All providers in Farmington, NM · Nurse Practitioner in New Mexico

Sources for this page

Verify at the official NPI Registry.