UPPER VALLEY MEDICAL CLINIC, PLLC
NPI 1366773947
Nurse Practitioner - Family in Canutillo, TX
NPI Status: Active since January 21, 2010
Contact Information
950 ANTHONY ST
CANUTILLO, TX
ZIP 79835
Phone: (915) 877-4217
Fax: (915) 877-4231
- Organization
- Nurse Practitioner
- Family
- CLIA Number: 45D1026999
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 06-20-2026
About UPPER VALLEY MEDICAL CLINIC, PLLC
This page provides the complete NPI Profile along with additional information for Upper Valley Medical Clinic, Pllc, a provider established in Canutillo, Texas operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1366773947 assigned on January 2010. The practitioner's primary taxonomy code is 363LF0000X with license number 537539 (TX). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Ms. Anna M Lucero Fnp-c (Owner/president)
- NPI
- 1366773947
- Provider Name
- UPPER VALLEY MEDICAL CLINIC, PLLC
- Entity Type
- Organization
- Location Address
- 950 ANTHONY ST CANUTILLO, TX 79835
- Location Phone
- (915) 877-4217
- Location Fax
- (915) 877-4231
- Mailing Address
- 7250 NINTH ST CANUTILLO, TX 79835
- Mailing Phone
- (915) 877-4217
- Mailing Fax
- (915) 877-4231
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-21-2010
- Last Update Date
- 01-21-2010
- Code Navigator
A nurse practitioner (NP) like Upper Valley Medical Clinic, Pllc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 537539
- License State
- TX
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D1026999
- Facility Type
- Practitioner Other
- Certificate Effective Date
- June 21, 2024
- Certificate Expiration Date
- June 20, 2026
- Laboratory Director
- ANNA M. LUCERO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Upper Valley Medical Clinic, Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 3 | 6 | 6 | 7 | 7 | 3 | 9 | 4 | 7 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 3 | 12 | 6 | 14 | 7 | 6 | 9 | 8 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 3 + 1 + 2 + 6 + 1 + 4 + 7 + 6 + 9 + 8 + 24 = 73 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 73 = 7 | 7 |
The NPI number 1366773947 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1275594574 | ANNA MARIE LUCERO FNP-C Individual | Nurse Practitioner (Family) | 950 ANTHONY ST CANUTILLO, TX 79835 (915) 877-4217 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366773947, enumerated in the NPI registry as an "organization" on January 21, 2010
The provider is located at 950 Anthony St Canutillo, Tx 79835 and the phone number is (915) 877-4217
This medical organization specializes in Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
The provider's CLIA number is 45D1026999 for a "practitioner other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on January 21, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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