Small Town Family Practice LLC
NPI 1164194940 · Primary Care Clinic/Center · Albuquerque, NM
Small Town Family Practice LLC is a Primary Care Clinic/Center organization in Albuquerque, NM (NPI 1164194940).
Provider details
- NPI number
- 1164194940
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Deanna Clark, Co-Owner/ Co-Manager(505) 366-3635
Specialties & taxonomies
Ambulatory Health Care Facilities
- Primary Care Nurse Practitioner363LP2300X
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
- Registered Nurse163W00000X
Nursing Service Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-09-30
- Last updated
- 2021-09-30
- Certified
- 2021-09-30
Frequently asked questions
- What is Small Town Family Practice LLC's NPI number?
- Small Town Family Practice LLC's National Provider Identifier (NPI) is 1164194940, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Small Town Family Practice LLC?
- Small Town Family Practice LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Small Town Family Practice LLC located?
- Small Town Family Practice LLC's practice location on file with NPPES is 4225 Montgomery Blvd Ne, Albuquerque, NM 87109-1103.
- What is Small Town Family Practice LLC's phone number?
- The practice phone number listed in the NPPES registry for Small Town Family Practice LLC is (505) 366-3635.
- Who is the authorized official for Small Town Family Practice LLC?
- The authorized official listed on Small Town Family Practice LLC's NPPES record is Deanna Clark, Co-Owner/ Co-Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Small Town Family Practice LLC's NPI active?
- Yes — Small Town Family Practice LLC's NPI (1164194940) is active in the NPPES registry as of the last update on 2021-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.