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MODERN EDGE FAMILY PRACTICE LLC
NPI 1083593388
Nurse Practitioner - Family in Albuquerque, NM

Active since August 29, 2025CLIA 32D2334113 · Waiver
2440 LOUISIANA BLVD NE STE 200, ALBUQUERQUE, NM 87110(505) 370-9195(505) 212-4007 Get Directions Write a Review

NPPES record last updated: December 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 20, 2025, Oct 7, 2025 (2 updates tracked since 2025).

About Modern Edge Family Practice Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MODERN EDGE FAMILY PRACTICE LLC (NPI 1083593388) is a healthcare organization registered as a family in Albuquerque, New Mexico and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through November 13, 2027 and lists Sonya Walsh, Owner/nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1083593388
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMODERN EDGE FAMILY PRACTICE LLC
Location Address2440 LOUISIANA BLVD NE STE 200Albuquerque, NM 87110-4400
Mailing Address2440 Louisiana Blvd Ne Ste 200Albuquerque, NM 87110-4400 · (505) 370-9195 · Fax (505) 212-4007
Phone(505) 370-9195
Fax(505) 212-4007
Organization SubpartNo
Authorized OfficialSonya WalshOwner/nurse Practitioner · (505) 370-9195
Enumeration DateAugust 29, 2025
Last NPPES UpdateDecember 20, 20252 updates tracked since enumeration
NPPES CertifiedDecember 20, 2025
✔ NPI 1083593388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
2440 LOUISIANA BLVD NE STE 200, Albuquerque, NM 87110
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 32D2334113

Modern Edge Family Practice LLC · Albuquerque, NM
Active · expires Nov 13, 2027
CLIA Number32D2334113
Laboratory TypeIndependent
Certificate Effective DateNovember 14, 2025
Certificate Expiration DateNovember 13, 2027
Laboratory DirectorRyan Asher
Laboratory Phone(505) 370-9195
Laboratory LocationModern Edge Family Practice LLC2440 Louisiana Blvd NE, Albuquerque, NM 87110
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TIMOTHY CRAIG OWNBEY DO
Psychiatry & Neurology (Neurology)
2440 LOUISIANA BLVD NE STE 200
ALBUQUERQUE, NM 87110
Bernalillo County (505) 389-1991
NEUROLOGY SPECIALISTS OF ALBUQUERQUE, LLC
Psychiatry & Neurology (Neurology)
2440 LOUISIANA BLVD NE STE 200
ALBUQUERQUE, NM 87110
Bernalillo County (505) 389-1991

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Modern Edge Family Practice LLC's NPI number?

The NPI number for Modern Edge Family Practice LLC is 1083593388. It was assigned to this organization in the NPPES registry on August 29, 2025.

Where is Modern Edge Family Practice LLC located?

Modern Edge Family Practice LLC is located at 2440 Louisiana Blvd NE Ste 200, Albuquerque, NM 87110. The listed phone number is (505) 370-9195.

What is Modern Edge Family Practice LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Modern Edge Family Practice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2334113) is associated with this NPI, valid through November 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Modern Edge Family Practice LLC was last updated on December 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.