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DYNAMIC HEALTHCARE LLC
NPI 1093396160
Nurse Practitioner - Family in Clovis, NM

Active since April 19, 2021CLIA 32D2230473 · Accreditation
912 W 21ST ST, CLOVIS, NM 88101(575) 935-9000(575) 935-1002 Get Directions Write a Review

NPPES record last updated: October 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 5, 2021, Apr 19, 2021 (2 updates tracked since 2021).

About Dynamic Healthcare Llc NPPES

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

DYNAMIC HEALTHCARE LLC (NPI 1093396160) is a healthcare organization registered as a family in Clovis, New Mexico and active in the NPI registry since April 2021. The organization holds an CLIA Accreditation certificate valid through January 29, 2028 and lists Lacey Meeks, Np/owner, as its authorized official.

NPPES Registry Identity

NPI1093396160
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameDYNAMIC HEALTHCARE LLC
Location Address912 W 21ST STClovis, NM 88101-4154
Mailing Address912 W 21st StClovis, NM 88101-4154 · (575) 935-9000 · Fax (575) 935-1002
Phone(575) 935-9000
Fax(575) 935-1002
Organization SubpartNo
Authorized OfficialLacey MeeksNp/owner · (806) 481-7000
Enumeration DateApril 19, 2021
Last NPPES UpdateOctober 5, 20212 updates tracked since enumeration
NPPES CertifiedOctober 5, 2021
✔ NPI 1093396160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X
912 W 21ST ST, Clovis, NM 88101
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Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.Insurance ›

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 Accreditation 32D2230473

Dynamic Healthcare · Clovis, NM
Active · expires Jan 29, 2028
CLIA Number32D2230473
Laboratory TypePhysician Office
Certificate Effective DateJanuary 30, 2026
Certificate Expiration DateJanuary 29, 2028
Laboratory DirectorDr. Kambiz Yaraei
Laboratory Phone(575) 935-9000
Laboratory LocationDynamic Healthcare912 W 21st, Clovis, NM 88101
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 11

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

CHARLENE ANAELE FNP
Nurse Practitioner (Family)
912 W 21ST ST
CLOVIS, NM 88101
Curry County (575) 935-9000
JITPRAPA MCKEE NP
Nurse Practitioner (Family)
912 W 21ST ST
CLOVIS, NM 88101
Curry County (575) 935-9000
MR. KEVIN DOUGLAS HORN NP
Nurse Practitioner (Family)
912 W 21ST ST
CLOVIS, NM 88101
Curry County (575) 904-7577
CRISTI D LUBERA CNM
Advanced Practice Midwife
912 W 21ST ST
CLOVIS, NM 88101
Curry County (575) 935-9000
MRS. ERIKA SMITH POTTS FNP-BC
Nurse Practitioner (Family)
912 W 21ST ST
CLOVIS, NM 88101
Curry County (575) 935-9000
MALLORY MAXWELL FNP
Nurse Practitioner
912 W 21ST ST
CLOVIS, NM 88101
Curry County (575) 935-9000
KAYLEIGH ROBERTS
Nurse Practitioner
912 W 21ST ST
CLOVIS, NM 88101
Curry County (575) 935-9000
MOLLY KIERNAN BARBIERI APRN
Nurse Practitioner
912 W 21ST ST
CLOVIS, NM 88101
Curry County (575) 935-9000

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 Dynamic Healthcare LLC's NPI number?

The NPI number for Dynamic Healthcare LLC is 1093396160. It was assigned to this organization in the NPPES registry on April 19, 2021.

Where is Dynamic Healthcare LLC located?

Dynamic Healthcare LLC is located at 912 W 21st St, Clovis, NM 88101. The listed phone number is (575) 935-9000.

What is Dynamic Healthcare LLC's specialty?

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

Does Dynamic Healthcare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 32D2230473) is associated with this NPI, valid through January 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dynamic Healthcare LLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Dynamic Healthcare LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dynamic Healthcare LLC was last updated on October 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.