CLOVIS FAMILY HEALTH CARE
NPI 1265686778
Nurse Practitioner - Family in Clovis, NM

Active since November 11, 2008CLIA Certified · 2 labs
2301 N MLK BLVD, CLOVIS, NM 88101(575) 762-4455(575) 762-8411 Get Directions Write a Review

NPPES record last updated: November 11, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Nurse Practitioner
  • Family
  • CLIA Number: 32D2277257
  • CLIA Cert. Type: Other - ACUTE/ URGENT CARE
  • CLIA Exp. Date: 02-22-2027

About CLOVIS FAMILY HEALTH CARE

This page provides the complete NPI Profile along with additional information for Clovis Family Health Care, a provider established in Clovis, New Mexico operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1265686778 assigned on November 2008. The practitioner's primary taxonomy code is 363LF0000X with license number R33747 (NM). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mona Johnson (Director Of Personel)

NPI
1265686778 Verify this NPI
Provider Name
CLOVIS FAMILY HEALTH CARE
Entity Type
Organization
Location Address
2301 N MLK BLVD CLOVIS, NM 88101
Location Phone
(575) 762-4455
Location Fax
(575) 762-8411
Mailing Address
2301 N MLK BLVD CLOVIS, NM 88101
Mailing Phone
(575) 762-4455
Mailing Fax
(575) 762-8411
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-11-2008
Last Update Date
11-11-2008
Code Navigator

A nurse practitioner (NP) like Clovis Family Health Care 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.
R33747
License State
NM

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MONA JOHNSON

Authorized Official Title
DIRECTOR OF PERSONEL
Authorized Official Phone
(575) 762-4455

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
32D2277257
Facility Type
Other - ACUTE/ URGENT CARE
Certificate Effective Date
February 23, 2025
Certificate Expiration Date
February 22, 2027
Laboratory Director
LACI OHARE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Clovis Family Health Care 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.

Reviews for CLOVIS FAMILY HEALTH CARE

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Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Nurse Practitioner (Psychiatric/Mental Health)
2301 N MLK BLVD
CLOVIS, NM 88101
Nurse Practitioner (Family)
2301 N MLK BLVD
CLOVIS, NM 88101
Nurse Practitioner
2301 N MLK BLVD
CLOVIS, NM 88101
Nurse Practitioner
2301 N MLK BLVD
CLOVIS, NM 88101
Family Medicine
2301 N MLK BLVD
CLOVIS, NM 88101
Nurse Practitioner (Family)
2301 N MLK BLVD
CLOVIS, NM 88101
Family Medicine
2301 N MLK BLVD
CLOVIS, NM 88101

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265686778, enumerated as an "organization" on November 11, 2008.

The provider is located at 2301 N MLK BLVD CLOVIS, NM 88101 and the phone number is (575) 762-4455.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.