1. Home
  2. Directory
  3. New Mexico
  4. Moriarty
  5. Nurse Practitioner
  6. NPI Profile

NEW MEXICO FAMILY MEDICINE
NPI 1508643479
Nurse Practitioner - Family in Moriarty, NM

Active since September 13, 2023CLIA 32D2303009 · Waiver
2005A W US ROUTE 66, MORIARTY, NM 87035(505) 492-2541(833) 428-7070 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 13, 2025, Dec 4, 2024, Feb 6, 2024 (3 updates tracked since 2024).

About New Mexico Family Medicine NPPES

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

NEW MEXICO FAMILY MEDICINE (NPI 1508643479) is a healthcare organization registered as a family in Moriarty, New Mexico and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through April 17, 2028 and lists Stephanie Neufeld, Owner, as its authorized official.

NPPES Registry Identity

NPI1508643479
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameNEW MEXICO FAMILY MEDICINE
Location Address2005A W US ROUTE 66Moriarty, NM 87035-1007
Mailing AddressPo Box 2863Moriarty, NM 87035-2863 · (505) 492-2541 · Fax (833) 428-7070
Phone(505) 492-2541
Fax(833) 428-7070
Organization SubpartNo
Authorized OfficialStephanie NeufeldOwner · (505) 492-2541
Enumeration DateSeptember 13, 2023
Last NPPES UpdateMarch 13, 20253 updates tracked since enumeration
NPPES CertifiedMarch 13, 2025
✔ NPI 1508643479 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
2005A W US ROUTE 66, Moriarty, NM 87035
Open in Google Maps ↗

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 32D2303009

New Mexico Family Medicine · Moriarty, NM
Active · expires Apr 17, 2028
CLIA Number32D2303009
Laboratory TypePractitioner Other
Certificate Effective DateApril 18, 2026
Certificate Expiration DateApril 17, 2028
Laboratory DirectorStephanie Neufeld
Laboratory Phone(505) 492-2541
Laboratory LocationNew Mexico Family Medicine2005A Us Rt 66 West, Moriarty, NM 87035
CLIA data matches this NPI record on: 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 New Mexico Family Medicine's NPI number?

The NPI number for New Mexico Family Medicine is 1508643479. It was assigned to this organization in the NPPES registry on September 13, 2023.

Where is New Mexico Family Medicine located?

New Mexico Family Medicine is located at 2005A W Us Route 66, Moriarty, NM 87035. The listed phone number is (505) 492-2541.

What is New Mexico Family Medicine's specialty?

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

Does New Mexico Family Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2303009) is associated with this NPI, valid through April 17, 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 New Mexico Family Medicine was last updated on March 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.