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NORTHERN NEW MEXICO HEALTH CARE, LLC
NPI 1861535825
Specialist in Espanola, NM

Active since February 15, 2007
18648 HWY 84-285, #C, ESPANOLA, NM 87532(505) 753-7576(505) 753-7676 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Northern New Mexico Health Care, Llc NPPES

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

NORTHERN NEW MEXICO HEALTH CARE, LLC (NPI 1861535825) is a healthcare organization registered as a specialist in Espanola, New Mexico and active in the NPI registry since February 2007. The organization lists Jonathan Karl Frederiksen, President-owner, as its authorized official.

NPPES Registry Identity

NPI1861535825
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameNORTHERN NEW MEXICO HEALTH CARE, LLC
Location Address18648 HWY 84-285, #CEspanola, NM 87532
Mailing Address1421 Luisa St Ste RSanta Fe, NM 87505-4073 · (505) 753-7576 · Fax (505) 753-7676
Phone(505) 753-7576
Fax(505) 753-7676
Organization SubpartNo
Authorized OfficialJonathan Karl FrederiksenPresident-owner · (505) 757-6666
Enumeration DateFebruary 15, 2007
Last NPPES UpdateJune 22, 2026
NPPES CertifiedJune 22, 2026
✔ NPI 1861535825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
18648 HWY 84-285, Espanola, NM 87532
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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

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 Northern New Mexico Health Care, LLC's NPI number?

The NPI number for Northern New Mexico Health Care, LLC is 1861535825. It was assigned to this organization in the NPPES registry on February 15, 2007.

Where is Northern New Mexico Health Care, LLC located?

Northern New Mexico Health Care, LLC is located at 18648 Hwy 84-285 #c, Espanola, NM 87532. The listed phone number is (505) 753-7576.

What is Northern New Mexico Health Care, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Northern New Mexico Health Care, LLC was last updated on June 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.