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ASPEN FAMILY CLINIC, LLC
NPI 1205632601
Nurse Practitioner - Family in Ruidoso, NM

Active since February 25, 2025CLIA 32D2326375 · Waiver
1214 MECHEM DR, RUIDOSO, NM 88345(817) 201-3958 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Aspen Family Clinic, Llc NPPES

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

ASPEN FAMILY CLINIC, LLC (NPI 1205632601) is a healthcare organization registered as a family in Ruidoso, New Mexico and active in the NPI registry since February 2025. The organization holds a CLIA Waiver certificate valid through July 1, 2027 and lists Nancy Walker, Owner, as its authorized official.

NPPES Registry Identity

NPI1205632601
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameASPEN FAMILY CLINIC, LLC
Location Address1214 MECHEM DRRuidoso, NM 88345-7206
Mailing Address1214 Mechem DrRuidoso, NM 88345-7206 · (817) 201-3958 · Fax (575) 616-7466
Phone(817) 201-3958
Organization SubpartNo
Authorized OfficialNancy WalkerOwner · (817) 201-3859
Enumeration DateFebruary 25, 2025
NPPES CertifiedFebruary 12, 2025
✔ NPI 1205632601 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
1214 MECHEM DR, Ruidoso, NM 88345
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Group Practice 1

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

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 32D2326375

Aspen Family Clinic · Ruidoso, NM
Active · expires Jul 1, 2027
CLIA Number32D2326375
Laboratory TypePhysician Office
Certificate Effective DateJuly 2, 2025
Certificate Expiration DateJuly 1, 2027
Laboratory DirectorNancy Walker
Laboratory Phone(817) 201-3958
Laboratory LocationAspen Family Clinic1214 Mechem Dr, Suite B, Ruidoso, NM 88345
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Aspen Family Clinic, LLC's NPI number?

The NPI number for Aspen Family Clinic, LLC is 1205632601. It was assigned to this organization in the NPPES registry on February 25, 2025.

Where is Aspen Family Clinic, LLC located?

Aspen Family Clinic, LLC is located at 1214 Mechem Dr, Ruidoso, NM 88345. The listed phone number is (817) 201-3958.

What is Aspen Family Clinic, LLC's specialty?

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

Does Aspen Family Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2326375) is associated with this NPI, valid through July 1, 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 Aspen Family Clinic, LLC was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.