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MEDICAL ASSISTED WELLNESS LLC
NPI 1649796699
Nurse Practitioner - Family in Las Cruces, NM

Active since August 21, 2017
121 WYATT DR STE 3, LAS CRUCES, NM 88005(575) 495-2000(575) 495-2000 Get Directions Write a Review

NPPES record last updated: October 13, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Medical Assisted Wellness Llc NPPES

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

MEDICAL ASSISTED WELLNESS LLC (NPI 1649796699) is a healthcare organization registered as a family in Las Cruces, New Mexico and active in the NPI registry since August 2017. The organization lists Justin Montgomery, Owner, as its authorized official.

NPPES Registry Identity

NPI1649796699
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMEDICAL ASSISTED WELLNESS LLC
Location Address121 WYATT DR STE 3Las Cruces, NM 88005-2960
Mailing Address4216 Auriga CtLas Cruces, NM 88011-0940 · (423) 388-5688
Phone(575) 495-2000
Fax(575) 495-2000
Organization SubpartNo
Authorized OfficialJustin MontgomeryOwner · (423) 388-5688
Enumeration DateAugust 21, 2017
Last NPPES UpdateOctober 13, 2017
✔ NPI 1649796699 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
121 WYATT DR STE 3, Las Cruces, NM 88005
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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

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 Medical Assisted Wellness LLC's NPI number?

The NPI number for Medical Assisted Wellness LLC is 1649796699. It was assigned to this organization in the NPPES registry on August 21, 2017.

Where is Medical Assisted Wellness LLC located?

Medical Assisted Wellness LLC is located at 121 Wyatt Dr Ste 3, Las Cruces, NM 88005. The listed phone number is (575) 495-2000.

What is Medical Assisted Wellness 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 Medical Assisted Wellness LLC was last updated on October 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.