Active Medical Group LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

ACTIVE MEDICAL GROUP LLC

Practice address

4801 N Butler Ave Ste 8102
Farmington, NM 87401-0818

Phone

(505) 370-1201

Fax

(505) 461-1779

NPI assigned

Mar 23, 2023

Organization subpart

No

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

Authorized official

Name

Ashley Jordan Smith, NPNPI 1538707666

Title

Nurse Practitioner

Phone

(505) 336-7344

Specialties & licenses 1

Addresses

Practitioners 1

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

• Ashley J Smith, FNP-PP

  • Family Nurse Practitioner
  • Farmington, NM
  • NPI 1538707666

  Family

  NPD Authorized official

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1992408520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 N BUTLER AVE STE 8102",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874010818",
            "telephone_number": "505-370-1201",
            "fax_number": "505-461-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 N BUTLER AVE STE 8102",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874010818",
            "telephone_number": "505-370-1201",
            "fax_number": "505-461-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-23",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "JORDAN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "505-336-7344",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malvin Duran Acebuche, NP
• Reid Ackerman, P.A-C
• Katelyn Ackley
• Act Now DME LLC
• Activate Behavioral Health LLC
• Adams Plastic Surgery, PC
• Jason Phillip Adams, D.O.
• Kathleen M Adams, CRNA
• Rebecca Arline Adams
• Scott Adamson, PT

• All providers in Farmington, NM
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.