Clovis Quickcare LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0383007 Issued in NM

Legal business name

CLOVIS QUICKCARE LLC

Practice address

2000 W 21St St Ste E3
Clovis, NM 88101-4093

Phone

(575) 769-2533

Fax

(575) 769-1735

NPI assigned

Jul 12, 2010

Last updated

Jul 21, 2010By 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

Mrs. Debra Lee Cyphert, FNP-BC

Title

Owner

Phone

(575) 769-2533

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1962714410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 W 21ST ST STE E3",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881014093",
            "telephone_number": "575-769-2533",
            "fax_number": "575-769-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W 21ST ST STE E3",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881014093",
            "telephone_number": "575-769-2533",
            "fax_number": "575-769-1735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVIS QUICKCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-12",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "CYPHERT",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-769-2533",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "0383007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI #",
            "identifier": "1982601498",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clovis Medical Associates LLC
• Clovis Municipal Schools
• Clovis Municipal Schools
• Clovis Municipal Schools
• Clovis Orthodontics, PLLC (Sparkman Orthodontics)
• Clovis Surgery Center LLC
• Clovis Surgery Center LLC
• Clovis Surgery Center NM LLC
• Clovis VA Outpatient Care Clinic
• Clovis Vision Associates PA

• Family Nurse Practitioner in Clovis, NM
• Providers in Clovis, 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 Jul 21, 2010; 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.