UPPER VALLEY MEDICAL CLINIC, PLLC
NPI 1366773947
Nurse Practitioner - Family in Canutillo, TX

Active since January 21, 2010CLIA 45D1026999 · Waiver
950 ANTHONY ST, CANUTILLO, TX 79835(915) 877-4217(915) 877-4231 Get Directions Write a Review

NPPES record last updated: January 21, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Upper Valley Medical Clinic, Pllc NPPES

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

UPPER VALLEY MEDICAL CLINIC, PLLC (NPI 1366773947) is a healthcare organization registered as a family in Canutillo, Texas and active in the NPI registry since January 2010. The organization holds a CLIA Waiver certificate valid through June 20, 2028 and lists Anna M Lucero, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1366773947
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameUPPER VALLEY MEDICAL CLINIC, PLLC
Location Address950 ANTHONY STCanutillo, TX 79835-6052
Mailing Address7250 Ninth StCanutillo, TX 79835-6011 · (915) 877-4217 · Fax (915) 877-4231
Fax(915) 877-4231
Organization SubpartNo
Authorized OfficialAnna M LuceroOwner/president · (915) 877-4217
Enumeration DateJanuary 21, 2010
NPI 1366773947 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
License Licensed in TX · 537539
950 ANTHONY ST, Canutillo, TX 79835

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 45D1026999

Upper Valley Medical Clinic · Canutillo, TX
Active · expires Jun 20, 2028
CLIA Number45D1026999
Laboratory TypePractitioner Other
Certificate Effective DateJune 21, 2026
Certificate Expiration DateJune 20, 2028
Laboratory DirectorAnna M. Lucero
Laboratory Phone(915) 877-4217
Laboratory LocationUpper Valley Medical Clinic950 Anthony Road, Canutillo, TX 79835
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
950 ANTHONY ST
CANUTILLO, TX 79835

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 Upper Valley Medical Clinic, PLLC's NPI number?

The NPI number for Upper Valley Medical Clinic, PLLC is 1366773947. It was assigned to this organization in the NPPES registry on January 21, 2010.

Where is Upper Valley Medical Clinic, PLLC located?

Upper Valley Medical Clinic, PLLC is located at 950 Anthony St, Canutillo, TX 79835. The listed phone number is (915) 877-4217.

What is Upper Valley Medical Clinic, PLLC's specialty?

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

Does Upper Valley Medical Clinic, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1026999) is associated with this NPI, valid through June 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Upper Valley Medical Clinic, PLLC was last updated on January 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.