Organization Active NPI

Vanessa'S Family Clinic

  • Family Nurse Practitioner
  • Carlsbad, NM
National Provider Identifier
1831437441
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP01226 Issued in NM
Legal business name
VANESSA'S FAMILY CLINIC
Practice address
402 E Wood Ave
Carlsbad, NM 88220-6500
Phone
(575) 941-9500
Fax
(575) 951-2503
NPI assigned
Jan 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Authorized official

Name
Christi Michelle Reid
Title
Office Manager
Phone
(575) 941-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X CNP01226 NM Primary

Addresses

Primary practice location

402 E Wood Ave
Carlsbad, NM 88220-6500

Mailing address

402 E Wood Ave
Carlsbad, NM 88220-6500
Phone (575) 941-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130515000074 NM Part B Supplier - Clinic/Group Practice 9133366982 Receives reassigned benefits from 6 practitioners
Practice locations: Carlsbad, NM

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2055098Vanessa'S Family Clinic Inc402 E Wood Ave, Carlsbad, NM 88220Certificate of waiverMar 4, 2027

National Provider Directory

National Provider Directory

Locations

1410 N 8th St
Ste B
Carlsbad, NM 88220
Phone (575) 885-2180

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1831437441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 E WOOD AVE",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882206500",
            "telephone_number": "575-941-5000",
            "fax_number": "575-941-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 E WOOD AVE",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882206500",
            "telephone_number": "575-941-9500",
            "fax_number": "575-951-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANESSA'S FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "CHRISTI",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "575-941-2500"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP01226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.