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SALLY SMITH NP, LLC
NPI 1508452921
Nurse Practitioner - Family in Santa Fe, NM

Active since December 19, 2020
1640 OLD PECOS TRL STE E&F, SANTA FE, NM 87505(505) 310-6974(855) 795-1933 Get Directions Write a Review

NPPES record last updated: December 19, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sally Smith Np, Llc NPPES

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

SALLY SMITH NP, LLC (NPI 1508452921) is a healthcare organization registered as a family in Santa Fe, New Mexico and active in the NPI registry since December 2020. The organization lists Sally Anne Smith, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1508452921
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameSALLY SMITH NP, LLC
Location Address1640 OLD PECOS TRL STE E&FSanta Fe, NM 87505-4776
Mailing Address96 Los Altos De CicuyePecos, NM 87552-2555 · (505) 310-6974
Phone(505) 310-6974
Fax(855) 795-1933
Organization SubpartNo
Authorized OfficialSally Anne SmithNurse Practitioner · (505) 570-7858
Enumeration DateDecember 19, 2020
NPPES CertifiedDecember 19, 2020
✔ NPI 1508452921 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
1640 OLD PECOS TRL STE E&F, Santa Fe, NM 87505
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Other Identifiers 1

Medicaid1861981193NM

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 MULTIPLE SINGLE SPECIALTY GROUP

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 Sally Smith Np, LLC's NPI number?

The NPI number for Sally Smith Np, LLC is 1508452921. It was assigned to this organization in the NPPES registry on December 19, 2020.

Where is Sally Smith Np, LLC located?

Sally Smith Np, LLC is located at 1640 Old Pecos Trl Ste E&f, Santa Fe, NM 87505. The listed phone number is (505) 310-6974.

What is Sally Smith Np, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Sally Smith Np, LLC was last updated on December 19, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.