INTEGRATED HEALTHCARE
NPI 1659800894
Nurse Practitioner - Psychiatric/Mental Health in Rio Rancho, NM

NPI Status: Active since June 10, 2017

Contact Information

4101 BARBARA LOOP SE STE C
RIO RANCHO, NM
ZIP 87124
Phone: (505) 994-4503
Fax: (505) 891-1495

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  • Organization
  • Nurse Practitioner
  • Psychiatric/Mental Health
  • CLIA Number: 32D2139093
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 10-29-2025

About INTEGRATED HEALTHCARE

This page provides the complete NPI Profile along with additional information for Integrated Healthcare, a provider established in Rio Rancho, New Mexico operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1659800894 assigned on June 2017. The practitioner's primary taxonomy code is 363LP0808X with license number CNP-0216 (NM). The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Jacqueline Eva Willis Np (Owner)

NPI
1659800894
Provider Name
INTEGRATED HEALTHCARE
Entity Type
Organization
Location Address
4101 BARBARA LOOP SE STE C RIO RANCHO, NM 87124
Location Phone
(505) 994-4503
Location Fax
(505) 891-1495
Mailing Address
4101 BARBARA LOOP SE STE C RIO RANCHO, NM 87124
Mailing Phone
(505) 994-4503
Mailing Fax
(505) 891-1495
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-10-2017
Last Update Date
06-10-2017
Code Navigator

A nurse practitioner (NP) like Integrated Healthcare is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
CNP-0216
License State
NM

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JACQUELINE EVA WILLIS NP

Authorized Official Title
OWNER
Authorized Official Phone
(505) 994-4503

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
32D2139093
Facility Type
Practitioner Other
Certificate Effective Date
October 30, 2023
Certificate Expiration Date
October 29, 2025
Laboratory Director
JACQUELINE E. WILLIS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Integrated Healthcare to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1659800894, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
9
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
0
Unchanged
Pos 7
0
Doubled → 0
Pos 8
8
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 8 → 16 → 7 0 → 0 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 0 + 9 + 1 + 6 + 0 + 0 + 8 + 1 + 8 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1659800894.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
4101 BARBARA LOOP SE STE C
RIO RANCHO, NM 87124
Social Worker
4101 BARBARA LOOP SE STE C
RIO RANCHO, NM 87124
Social Worker
4101 BARBARA LOOP SE STE C
RIO RANCHO, NM 87124
Social Worker (Clinical)
4101 BARBARA LOOP SE STE C
RIO RANCHO, NM 87124

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659800894, enumerated as an "organization" on June 10, 2017.

The provider is located at 4101 BARBARA LOOP SE STE C RIO RANCHO, NM 87124 and the phone number is (505) 994-4503.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.