Sunflower Mobile & Medical Clinic LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

SUNFLOWER MOBILE & MEDICAL CLINIC LLC

Practice address

1533 S Saint Francis Dr Ste a
Santa Fe, NM 87505-4032

Phone

(813) 484-2335

Fax

(949) 404-8999

NPI assigned

Jan 18, 2023

Last updated

Feb 25, 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

Elizabeth Olis, NPNPI 1346892866

Title

Ceo

Phone

(505) 920-5180

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 4

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.

• Kimberly Nicole Martinez, APRN-CNP

  • Family Nurse Practitioner
  • Albuquerque, NM
  • NPI 1255042081
  Medicare reassignment Care Compare group NPD
• Elizabeth Olis, AGNP-BC, CNP

  • Primary Care Nurse Practitioner
  • Santa Fe, NM
  • NPI 1346892866

  Adult Health

  Medicare reassignment NPD Authorized official
• Miqueas Gomez, MD

  • Internal Medicine Physician
  • Poughkeepsie, NY
  • NPI 1366079550

  NM

  Medicare reassignment Care Compare group NPD
• Amanda Romero-Montano, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Las Vegas, NM
  • NPI 1689557282
  Medicare reassignment

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1922713437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 S SAINT FRANCIS DR STE A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054032",
            "telephone_number": "505-920-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 S SAINT FRANCIS DR STE A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054032",
            "telephone_number": "813-484-2335",
            "fax_number": "949-404-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNFLOWER MOBILE & MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-18",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "OLIS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-920-5180",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farah Sultan
• Paula A Summar, LMHC
• Summit Spine and Sports Medicine, LLC
• Carole Sumner
• Sun Mountain Counseling Services
• Sunflower Wellness Center LLC
• Sunset Sleep Center, LTD
• Sunshine Advantage of NM
• Susan Harris LPCC, LLC
• Susan M Bright DC PC

• Adult Health Nurse Practitioner in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Adult Health Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.