| La Familia Health | |
|
455 Saint Michaels Dr Santa Fe NM 87505-7601 | |
| (505) 982-4425 | |
| (505) 982-6280 |
| Full Name | La Familia Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 455 Saint Michaels Dr, Santa Fe, New Mexico |
| Authorized Official Name and Position | Julie Kay Wright (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5059824425 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| La Familia Health 1035 Alto St Santa Fe NM 87501-2406 Ph: (505) 982-4425 | La Familia Health 455 Saint Michaels Dr Santa Fe NM 87505-7601 Ph: (505) 982-4425 |
| NPI Number | 1811059322 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 06/09/2023 |
| Medicare PECOS PAC ID | 4082601026 |
|---|---|
| Medicare Enrollment ID | O20040429001343 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811059322 | NPI | - | NPPES |
| Z1678 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (New Mexico) | Primary |
| Provider Name | Janeen D Maas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174534044 PECOS PAC ID: 6507755444 Enrollment ID: I20040310001563 |
| Provider Name | Ronald Press |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841365731 PECOS PAC ID: 0042208316 Enrollment ID: I20040505000090 |
| Provider Name | Gary E Giblin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396733283 PECOS PAC ID: 4486636826 Enrollment ID: I20040601001084 |
| Provider Name | Melissa S Rosen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609848118 PECOS PAC ID: 1456335793 Enrollment ID: I20040615001127 |
| Provider Name | Erika L Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104814193 PECOS PAC ID: 9032162912 Enrollment ID: I20050502000825 |
| Provider Name | Maria E Mcmahon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073574067 PECOS PAC ID: 3274549381 Enrollment ID: I20060303000561 |
| Provider Name | Jonathan D Beamer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578511218 PECOS PAC ID: 3678579539 Enrollment ID: I20061017000209 |
| Provider Name | Sue Katz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669460580 PECOS PAC ID: 0547458267 Enrollment ID: I20101222000602 |
| Provider Name | Laura M Mccann |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1700162344 PECOS PAC ID: 5597931253 Enrollment ID: I20111229000576 |
| Provider Name | Matthew J Schmidt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538391719 PECOS PAC ID: 5193974723 Enrollment ID: I20120925000730 |
| Provider Name | Mary H Roessel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194900340 PECOS PAC ID: 2163662677 Enrollment ID: I20130705000248 |
| Provider Name | Kristina L Sinnott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023321437 PECOS PAC ID: 1254503758 Enrollment ID: I20141121002105 |
| Provider Name | Susan F Griggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245641836 PECOS PAC ID: 6305161837 Enrollment ID: I20150204001363 |
| Provider Name | Lauren E Waltersdorf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295091007 PECOS PAC ID: 2769783000 Enrollment ID: I20151210002097 |
| Provider Name | Kimberly Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588106363 PECOS PAC ID: 3375826340 Enrollment ID: I20170217000497 |
| Provider Name | Mervianna M Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811185333 PECOS PAC ID: 1557317278 Enrollment ID: I20171017000297 |
| Provider Name | Emma Goodstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407389471 PECOS PAC ID: 8325303571 Enrollment ID: I20200911000462 |
| Provider Name | Juan C Deoses Burciaga |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144731761 PECOS PAC ID: 0345670899 Enrollment ID: I20201111000077 |
| Provider Name | Jaleh M Akhavan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043743008 PECOS PAC ID: 9133490899 Enrollment ID: I20201120000737 |
| Provider Name | Adrienne A Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023661683 PECOS PAC ID: 3678904463 Enrollment ID: I20210604000612 |
| Provider Name | Kim Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588920268 PECOS PAC ID: 2860772217 Enrollment ID: I20220216002824 |
| Provider Name | Rachel Pradarelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942809256 PECOS PAC ID: 7911319371 Enrollment ID: I20220328000469 |
| Provider Name | Kathryn Doster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891358644 PECOS PAC ID: 6204212772 Enrollment ID: I20221006001642 |
| Provider Name | Kate Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679208052 PECOS PAC ID: 0648646638 Enrollment ID: I20221017000588 |
| Provider Name | Elizabeth Holland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689663536 PECOS PAC ID: 3779931746 Enrollment ID: I20231201000229 |
| Provider Name | Paula Summar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376986620 PECOS PAC ID: 9335582873 Enrollment ID: I20240212002305 |
| Provider Name | Marie O Hennelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912393539 PECOS PAC ID: 0042526410 Enrollment ID: I20240216002139 |
Teen Health Center Santa Fe High School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2100 Yucca St, Santa Fe High School, Santa Fe, NM 87505 Phone: 505-467-2439 Fax: 505-467-2989 | |
Merritt Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 530a Harkle Rd, Santa Fe, NM 87505 Phone: 512-495-9015 | |
Santa Fe Imaging Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1640 Hospital Dr, Santa Fe, NM 87505 Phone: 505-983-9350 Fax: 505-955-8763 | |
Axces Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 531 Harkle Rd Ste B, Santa Fe, NM 87505 Phone: 505-207-8078 Fax: 505-207-8082 | |
Camino Entrada After Hours Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2590 Camino Entrada, Santa Fe, NM 87507 Phone: 505-913-3300 Fax: 505-913-3301 | |
Joshua Brown Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1650 Hospital Dr Ste 200, Santa Fe, NM 87505 Phone: 505-982-4276 Fax: 505-983-7571 | |
Teen Health Centers Capital High Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4851 Paseo Del Sol, Santa Fe, NM 87507 Phone: 505-467-1081 Fax: 505-954-1180 |