Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Active Medical Group LLC

Organization Family Nurse Practitioner · NPI 1992408520

Active Medical Group LLC is a Family Nurse Practitioner in Farmington, New Mexico. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4801 N Butler Ave Ste 8102
Farmington, NM 87401-0818
Phone: (505) 370-1201
Fax: (505) 461-1779
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1992408520
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ashley Smith — Nurse Practitioner · (505) 336-7344
NPI enumeratedMarch 23, 2023
Last updated in NPPESJanuary 16, 2025
Certification dateJanuary 16, 2025
Mailing address4801 N Butler Ave Ste 8102, Farmington, NM 87401-0818

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