Organization Active NPI

Zia Clinic LLC

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1760146765
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ZIA CLINIC LLC
Practice address
881 Lead Ave SE Ste E
Albuquerque, NM 87102-4536
Phone
(505) 738-8942
NPI assigned
Oct 26, 2021
Last updated
Oct 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Authorized official

Name
Roberto Moran
Title
Owner
Phone
(505) 738-8942

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

881 Lead Ave SE Ste E
Albuquerque, NM 87102-4536

Mailing address

881 Lead Ave SE Ste E
Albuquerque, NM 87102-4536
Phone (505) 738-8942

National Provider Directory

National Provider Directory

Locations

881 Lead Ave SE
Ste E
Albuquerque, NM 87102
Phone (505) 355-1995

NPI Registry JSON

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1760146765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 LEAD AVE SE STE E",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871024536",
            "telephone_number": "505-738-8942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 LEAD AVE SE STE E",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871024536",
            "telephone_number": "505-738-8942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIA CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-26",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-738-8942"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.