Teekees Clinic

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

TEEKEES CLINIC

Practice address

195 Morrison Drive
Bosque Farms, NM 87068

Phone

(575) 215-3227

NPI assigned

Jan 21, 2025

Last updated

Jan 21, 2025By 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

Laura Medina

Title

Services Director

Phone

(915) 208-6037

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Practitioners 1

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.

• Tewiana C Norris

  • Psychiatric/Mental Health Nurse Practitioner
  • El Paso, TX
  • NPI 1063839686

  NM

  Medicare reassignment NPD

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1720890452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 E LOHMAN AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880018490",
            "telephone_number": "575-215-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 MORRISON DRIVE",
            "city": "BOSQUE FARMS",
            "state": "NM",
            "postal_code": "87068",
            "telephone_number": "575-215-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEEKEES CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "SERVICES DIRECTOR",
        "authorized_official_telephone_number": "915-208-6037"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myles Sandoval
• Stacie Shain, D.O.M
• Matthew Smith, LMSW
• Southwest Medical Clinic Inc
• Martha Brown Swinney, MA, CCC-SLP
• Michelle Kathryn Williams-Gabaldon, MS, CCC-SLP

• Psychiatric/Mental Health Nurse Practitioner in Bosque Farms, NM
• Providers in Bosque Farms, NM by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.