Family Clinic of New Mexico

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

CNP00453 Issued in NM

Legal business name

FAMILY CLINIC OF NEW MEXICO

Practice address

4600 Jefferson LN NE
Suite D
Albuquerque, NM 87109-2134

Phone

(505) 881-4012

Fax

(505) 881-4883

NPI assigned

Mar 22, 2012

Organization subpart

Yes

Parent organization

CARCARR HOLDINGS CORPAs reported in NPPES

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

Authorized official

Name

Carla Franco, FNP-BC

Title

President

Phone

(505) 881-4012

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332374400000",
    "number": "1821364902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 JEFFERSON LN NE",
            "address_2": "SUITE D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092134",
            "telephone_number": "505-881-4012",
            "fax_number": "505-881-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 JEFFERSON LN NE",
            "address_2": "SUITE D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092134",
            "telephone_number": "505-881-4012",
            "fax_number": "505-881-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CLINIC OF NEW MEXICO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARCARR HOLDINGS CORP",
        "enumeration_date": "2012-03-22",
        "last_updated": "2012-03-22",
        "status": "A",
        "authorized_official_last_name": "FRANCO",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-881-4012",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NM",
            "license": "CNP00453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Familias de Luz Supportive & Assisted Living
• Families First Therapy, LLC
• Families Plus, Inc
• Families Together/Self Realization Therapy
• Family Choice 98TH LLC
• Family Dental Centers PA
• Family Dental Health Care
• Family Dental Health Care LLC
• Family Dimensions Inc.
• Family Eye Care/Children'S Eye Center of New Mexico, P.C.

• Preferred Provider Organization in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Preferred Provider Organization in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; 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.