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LIFTED CLINICAL PRACTICE, PLLC
NPI 1447797758
Clinic/Center - Community Health in Santa Fe, NM

Active since January 24, 2017CLIA 32D2290295 · Waiver
2801 RODEO RD STE C14, SANTA FE, NM 87507(505) 430-0760(866) 354-3833 Get Directions Write a Review

NPPES record last updated: September 8, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 8, 2022, Jan 24, 2017 (2 updates tracked since 2017).

About Lifted Clinical Practice, Pllc NPPES

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

LIFTED CLINICAL PRACTICE, PLLC (NPI 1447797758) is a healthcare organization registered as a community health in Santa Fe, New Mexico and active in the NPI registry since January 2017. The organization holds a CLIA Waiver certificate valid through September 21, 2027 and lists Funmilayo Aina, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1447797758
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameLIFTED CLINICAL PRACTICE, PLLC
Location Address2801 RODEO RD STE C14Santa Fe, NM 87507-6503
Mailing Address2801 Rodeo Rd Ste C14Santa Fe, NM 87507-6503 · (505) 430-0760 · Fax (866) 354-3833
Phone(505) 430-0760
Fax(866) 354-3833
Organization SubpartNo
Authorized OfficialFunmilayo AinaFamily Nurse Practitioner · (505) 430-0760
Enumeration DateJanuary 24, 2017
Last NPPES UpdateSeptember 8, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2022
✔ NPI 1447797758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
Licenses✔ Licensed in TX · 688447✔ Licensed in TX · AP123182
2801 RODEO RD STE C14, Santa Fe, NM 87507
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lifted Clinical Practice, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lifted Clinical Practice, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Funmilayo Aina, DNP, CNP
Nurse Practitioner
NPI 1295078335
2801 RODEO RD SUITE C-14
Santa Fe, NM 87507
(505) 303-3514
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 32D2290295

Lifted Clinical Practice · Santa Fe, NM
Active · expires Sep 21, 2027
CLIA Number32D2290295
Laboratory TypePhysician Office
Certificate Effective DateSeptember 22, 2025
Certificate Expiration DateSeptember 21, 2027
Laboratory DirectorAina Funmilayo
Laboratory Phone(505) 303-3514
Laboratory LocationLifted Clinical Practice2801 Rodeo Rd Suite C-14, Santa Fe, NM 87507
CLIA data matches this NPI record on: Name
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 Lifted Clinical Practice, PLLC's NPI number?

The NPI number for Lifted Clinical Practice, PLLC is 1447797758. It was assigned to this organization in the NPPES registry on January 24, 2017.

Where is Lifted Clinical Practice, PLLC located?

Lifted Clinical Practice, PLLC is located at 2801 Rodeo Rd Ste C14, Santa Fe, NM 87507. The listed phone number is (505) 430-0760.

What is Lifted Clinical Practice, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Is Lifted Clinical Practice, PLLC enrolled in Medicare?

Yes. Lifted Clinical Practice, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lifted Clinical Practice, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Lifted Clinical Practice, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Lifted Clinical Practice, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2290295) is associated with this NPI, valid through September 21, 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 Lifted Clinical Practice, PLLC was last updated on September 8, 2022. 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.