Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Northern New Mexico Health Care, LLC

Organization Specialist · NPI 1861535825

Northern New Mexico Health Care, LLC provides Specialist services in Espanola, New Mexico. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

18648 Hwy 84-285 #C
Espanola, NM 87532
Phone: (505) 753-7576
Fax: (505) 753-7676
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1861535825
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Frederiksen — President-Owner · (505) 757-6666
NPI enumeratedFebruary 15, 2007
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026
Mailing address1421 Luisa St Ste R, Santa Fe, NM 87505-4073

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