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SANTA TERESA CHILDREN'S NIGHT CLINIC
NPI 1720469679
Clinic/Center - Primary Care in Santa Teresa, NM

Active since June 17, 2015CLIA 32D2096773 · Waiver
1245 COUNTRY CLUB RD, SUITE 200, SANTA TERESA, NM 88008(575) 332-4633(575) 332-4635 Get Directions Write a Review

NPPES record last updated: June 17, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Santa Teresa Children's Night Clinic NPPES

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

SANTA TERESA CHILDREN'S NIGHT CLINIC (NPI 1720469679) is a healthcare organization registered as a primary care in Santa Teresa, New Mexico and active in the NPI registry since June 2015. The organization holds a CLIA Waiver certificate valid through May 31, 2027 and lists Tanya Veronica Marin, Pediatric Nurse Practitioner/ Owner, as its authorized official.

NPPES Registry Identity

NPI1720469679
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameTANYA V MARIN, PC
Location Address1245 COUNTRY CLUB RD, SUITE 200Santa Teresa, NM 88008-9743
Mailing Address1245 Country Club Rd, Suite 200Santa Teresa, NM 88008-9743 · (575) 332-4633 · Fax (575) 332-4635
Phone(575) 332-4633
Fax(575) 332-4635
Organization SubpartNo
Authorized OfficialTanya Veronica MarinPediatric Nurse Practitioner/ Owner · (575) 332-4633
Enumeration DateJune 17, 2015
✔ NPI 1720469679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1245 COUNTRY CLUB RD, Santa Teresa, NM 88008
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Other Names 1

Doing Business AsSanta Teresa Children's Night Clinic

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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 32D2096773

Santa Teresa Children's Night Clinic · Santa Teresa, NM
Active · expires May 31, 2027
CLIA Number32D2096773
Laboratory TypePractitioner Other
Certificate Effective DateJune 1, 2025
Certificate Expiration DateMay 31, 2027
Laboratory DirectorTanya V. Marin
Laboratory Phone(575) 332-4633
Laboratory LocationSanta Teresa Children's Night Clinic1245 Country Club Road Suite 200, Santa Teresa, NM 88008
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

SANDRA L SHUYA PC
Community/Behavioral Health
1245 COUNTRY CLUB RD, STE. 200
SANTA TERESA, NM 88008
Doña Ana County (915) 235-7676
DR. TANYA VERONICA MARIN DNP, APRN, CPNP-PC/A
Nurse Practitioner (Pediatrics)
1245 COUNTRY CLUB RD, SUITE 200
SANTA TERESA, NM 88008
Doña Ana County (575) 332-4633
PRONTOLAB
Clinical Medical Laboratory
1245 COUNTRY CLUB RD
SANTA TERESA, NM 88008
Doña Ana County (575) 332-4633

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 Tanya V Marin, PC's NPI number?

The NPI number for Tanya V Marin, PC is 1720469679. It was assigned to this organization in the NPPES registry on June 17, 2015. The provider is doing business as Santa Teresa Children's Night Clinic.

Where is Tanya V Marin, PC located?

Tanya V Marin, PC is located at 1245 Country Club Rd Suite 200, Santa Teresa, NM 88008. The listed phone number is (575) 332-4633.

What is Tanya V Marin, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Tanya V Marin, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2096773) is associated with this NPI, valid through May 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tanya V Marin, PC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Tanya V Marin, PC 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 Tanya V Marin, PC was last updated on June 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.