Family Health Clinic of New Mexico Inc.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP00707 Issued in NM

Legal business name

FAMILY HEALTH CLINIC OF NEW MEXICO INC.

Practice address

3911 4TH St NW
Albuquerque, NM 87107-2510

Phone

(505) 469-0730

NPI assigned

Nov 4, 2011

Organization subpart

No

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

Authorized official

Name

Lisa Brazil, FNP-BC

Title

Certified Family Nurse Practitioner

Phone

(505) 469-0730

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1730466715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 4TH ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871072510",
            "telephone_number": "505-469-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 4TH ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871072510",
            "telephone_number": "505-469-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH CLINIC OF NEW MEXICO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-04",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "BRAZIL",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CERTIFIED FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "505-469-0730",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP00707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1154419117",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Dental Health Care LLC
• Family Dimensions Inc.
• Family Eye Care/Children'S Eye Center of New Mexico, P.C.
• Family Foot Health Specialists, P.C.
• Family Harmony
• Family Healthcare LLC
• Family Hospice LTD
• Family Medicine PC
• Family Physicians of Albuquerque, PC
• Family Smiles, LLC

• Family Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.