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SAN JUAN HEALTH AND WELLNESS CENTER
NPI 1568998029
Nurse Practitioner - Psychiatric/Mental Health in Farmington, NM

Active since May 03, 2017
4801 N BUTLER AVE, STE 1101, FARMINGTON, NM 87401(505) 327-0002(505) 325-9443 Get Directions Write a Review

NPPES record last updated: December 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 13, 2023, Aug 17, 2021, Jun 29, 2021 and 1 more (4 updates tracked since 2019).

About San Juan Health And Wellness Center NPPES

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

SAN JUAN HEALTH AND WELLNESS CENTER (NPI 1568998029) is a healthcare organization registered as a psychiatric/mental health in Farmington, New Mexico and active in the NPI registry since May 2017. The organization lists Misty Dawn Diaz, Office Administrator, as its authorized official.

NPPES Registry Identity

NPI1568998029
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSAN JUAN HEALTH AND WELLNESS CENTER
Location Address4801 N BUTLER AVE, STE 1101Farmington, NM 87401-1013
Mailing Address4801 N Butler Ave, Ste 1101Farmington, NM 87401-1013 · (505) 327-0002 · Fax (505) 325-9443
Phone(505) 327-0002
Fax(505) 325-9443
Organization SubpartNo
Authorized OfficialMisty Dawn DiazOffice Administrator · (505) 327-0002
Enumeration DateMay 3, 2017
Last NPPES UpdateDecember 29, 20234 updates tracked since enumeration
NPPES CertifiedNovember 13, 2023
✔ NPI 1568998029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
4801 N BUTLER AVE, Farmington, NM 87401
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Other Identifiers 2

Medicaid86337556NM
Other2782NM · Last Four Of Tin

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.Insurance ›

Other Providers at the Same Location NPPES 9

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

SAMUEL C. CARPENTER, DPMPC
Podiatrist (Foot Surgery)
4801 N BUTLER AVE, SUITE 9102
FARMINGTON, NM 87401
San Juan County (505) 327-3338
TRES RIOS ANESTHESIOLOGY LLC
Anesthesiology
4801 N BUTLER AVE, SUITE 5000
FARMINGTON, NM 87401
San Juan County (505) 326-7246
ADVANCED GASTROENTEROLOGY ASSOCIATES
Internal Medicine (Gastroenterology)
4801 N BUTLER AVE, SUITE 13102
FARMINGTON, NM 87401
San Juan County (505) 436-2906
KENNETH BRADLEY CHIPMAN CNP
Nurse Practitioner (Psychiatric/Mental Health)
4801 N BUTLER AVE
FARMINGTON, NM 87401
San Juan County (505) 327-0002
DR. JEAN GRAHAM M.D.
Specialist
4801 N BUTLER AVE
FARMINGTON, NM 87401
San Juan County (505) 324-8375
DR. MICHAEL JOSEPH RUTLEDGE M.D.
Family Medicine
4801 N BUTLER AVE, SUITE 13101
FARMINGTON, NM 87401
San Juan County (505) 564-8300
DENISE M DORNER DPM
Podiatrist (Foot & Ankle Surgery)
4801 N BUTLER AVE, STE 14102
FARMINGTON, NM 87401
San Juan County (505) 327-3650
COMPREHENSIVE SLEEP SOLUTIONS, LLC
Clinic/Center (Sleep Disorder Diagnostic)
4801 N BUTLER AVE, STE 6102
FARMINGTON, NM 87401
San Juan County (505) 327-6776

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 San Juan Health And Wellness Center's NPI number?

The NPI number for San Juan Health And Wellness Center is 1568998029. It was assigned to this organization in the NPPES registry on May 3, 2017.

Where is San Juan Health And Wellness Center located?

San Juan Health And Wellness Center is located at 4801 N Butler Ave Ste 1101, Farmington, NM 87401. The listed phone number is (505) 327-0002.

What is San Juan Health And Wellness Center's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does San Juan Health And Wellness Center accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list San Juan Health And Wellness Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for San Juan Health And Wellness Center was last updated on December 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.