MOUNTAIN DESERT HEALTH CLINIC LLC
NPI 1720606882
Nurse Practitioner in Albuquerque, NM
NPI Status: Active since July 06, 2020
Contact Information
4411 MONTANO RD NW STE F
ALBUQUERQUE, NM
ZIP 87120
Phone: (505) 597-0936
Fax: (505) 458-0673
- Organization
- Nurse Practitioner
About MOUNTAIN DESERT HEALTH CLINIC LLC
This page provides the complete NPI Profile along with additional information for Mountain Desert Health Clinic Llc, a provider established in Albuquerque, New Mexico operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1720606882 assigned on July 2020. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated March 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's
- NPI
- 1720606882
- Provider Legal Name
- MOUNTAIN DESERT HEALTH CLINIC LLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 4411 MONTANO RD NW STE F ALBUQUERQUE, NM 87120
- Location Phone
- (505) 597-0936
- Location Fax
- (505) 458-0673
- Mailing Address
- 4411 MONTANO RD NW STE F ALBUQUERQUE, NM 87120
- Mailing Phone
- (505) 597-0936
- Mailing Fax
- (505) 458-0673
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-06-2020
- Last Update Date
- 03-19-2025
- Code Navigator
A nurse practitioner (NP) like Mountain Desert Health Clinic Llc 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
Secondary Locations
- 2200 Panola St SW
Albuquerque, NM 87121
(505) 553-0003
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
- Taxonomy Code
- 363L00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy Description
- (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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.
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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 | 7 | 2 | 0 | 6 | 0 | 6 | 8 | 8 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 4 | 0 | 12 | 0 | 12 | 8 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 4 + 0 + 1 + 2 + 0 + 1 + 2 + 8 + 1 + 6 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1720606882 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720606882, enumerated in the NPI registry as an "organization" on July 06, 2020
The provider is located at 4411 Montano Rd Nw Ste F Albuquerque, Nm 87120 and the phone number is (505) 597-0936
This medical organization specializes in Nurse Practitioner with taxonomy code 363L00000X
This NPI record was last updated on July 06, 2020. 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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