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MOUNTAIN DESERT HEALTH CLINIC LLC
NPI 1720606882
Nurse Practitioner in Albuquerque, NM

Active since July 06, 2020
4411 MONTANO RD NW STE F, ALBUQUERQUE, NM 87120(505) 597-0936(505) 458-0673 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Mar 19, 2025, Feb 11, 2025, Jul 6, 2020 (3 updates tracked since 2020).

About Mountain Desert Health Clinic Llc NPPES

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

MOUNTAIN DESERT HEALTH CLINIC LLC (NPI 1720606882), doing business as Mountain Desert Health Llc, is a healthcare organization registered as a nurse practitioner in Albuquerque, New Mexico and active in the NPI registry since July 2020. The organization maintains a secondary practice location in Albuquerque and lists Sharon Schaaf, Owner, as its authorized official.

NPPES Registry Identity

NPI1720606882
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameMOUNTAIN DESERT HEALTH CLINIC LLC
Location Address4411 MONTANO RD NW STE FAlbuquerque, NM 87120-3235
Mailing Address4411 Montano Rd Nw Ste FAlbuquerque, NM 87120-3235 · (505) 597-0936 · Fax (505) 457-0673
Phone(505) 597-0936
Fax(505) 458-0673
Organization SubpartNo
Authorized OfficialSharon SchaafOwner · (505) 597-0936
Enumeration DateJuly 6, 2020
Last NPPES UpdateMarch 19, 20253 updates tracked since enumeration
NPPES CertifiedMarch 19, 2025
✔ NPI 1720606882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4411 MONTANO RD NW STE F, Albuquerque, NM 87120
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Other Names 1

Former Legal Business NameMountain Desert Health Llc

Secondary Practice Location 1

Location 12200 Panola St SWAlbuquerque, NM 87121-2582 · Phone (505) 553-0003

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 Mountain Desert Health Clinic LLC's NPI number?

The NPI number for Mountain Desert Health Clinic LLC is 1720606882. It was assigned to this organization in the NPPES registry on July 6, 2020. The provider was formerly known as Mountain Desert Health LLC.

Where is Mountain Desert Health Clinic LLC located?

Mountain Desert Health Clinic LLC is located at 4411 Montano Rd NW Ste F, Albuquerque, NM 87120. The listed phone number is (505) 597-0936.

What is Mountain Desert Health Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Mountain Desert Health Clinic LLC was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.