1. Home
  2. Directory
  3. New Mexico
  4. Portales
  5. Nurse Practitioner
  6. NPI Profile

TRINITY CHRISTIAN CARE
NPI 1982185948
Nurse Practitioner - Family in Portales, NM

Active since August 27, 2018
1698 S ROOSEVELT ROAD 13, PORTALES, NM 88130(575) 607-8702(800) 421-8110 Get Directions Write a Review

NPPES record last updated: November 4, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 4, 2021, Sep 23, 2021, Aug 27, 2018 (3 updates tracked since 2018).

About Trinity Christian Care NPPES

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

TRINITY CHRISTIAN CARE (NPI 1982185948) is a healthcare organization registered as a family in Portales, New Mexico and active in the NPI registry since August 2018. The organization maintains a secondary practice location in Portales and lists Rebecca Kizer, President, as its authorized official.

NPPES Registry Identity

NPI1982185948
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameFOS WELLNESS, LTD
Location Address1698 S ROOSEVELT ROAD 13Portales, NM 88130-8705
Mailing Address1698 S Roosevelt Road 13Portales, NM 88130-8705 · (575) 607-8702 · Fax (800) 421-8110
Phone(575) 607-8702
Fax(800) 421-8110
Organization SubpartYes
Authorized OfficialRebecca KizerPresident · (575) 607-8702
Enumeration DateAugust 27, 2018
Last NPPES UpdateNovember 4, 20213 updates tracked since enumeration
NPPES CertifiedNovember 4, 2021
✔ NPI 1982185948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedRegistered NurseTaxonomy 163W00000X · License RN-72322 (NM)
Also ListedRegistered Nurse · Diabetes EducatorTaxonomy 163WD0400X · License RN-72322 (NM)
Also ListedRegistered Nurse · Nutrition SupportTaxonomy 163WN1003X · License RN-72322 (NM)
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
1698 S ROOSEVELT ROAD 13, Portales, NM 88130
Open in Google Maps ↗

Other Names 1

Doing Business AsTrinity Christian Care

Secondary Practice Location 1

Location 11812 S Roosevelt Road 8Portales, NM 88130-9724 · Phone (575) 607-8702

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 32D2188385

Fos Wellness · Portales, NM
Expired · Jul 15, 2026
CLIA Number32D2188385
Laboratory TypeMobile Laboratory
Certificate Effective DateJuly 16, 2024
Certificate Expiration DateJuly 15, 2026
Laboratory DirectorRebecca K. Kizer
Laboratory Phone(575) 607-8702
Laboratory LocationFos Wellness1698 S Roosevelt Road 13, Portales, NM 88130
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Fos Wellness, Ltd's NPI number?

The NPI number for Fos Wellness, Ltd is 1982185948. It was assigned to this organization in the NPPES registry on August 27, 2018. The provider is doing business as Trinity Christian Care.

Where is Fos Wellness, Ltd located?

Fos Wellness, Ltd is located at 1698 S Roosevelt Road 13, Portales, NM 88130. The listed phone number is (575) 607-8702.

What is Fos Wellness, Ltd'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 Fos Wellness, Ltd was last updated on November 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.