Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

San Juan Health and Wellness Center

Psychiatric/Mental Health Nurse Practitioner in Farmington, NM · enumerated 2017 · authorized official Misty Diaz, Office Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1568998029

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Registry record

Entity type Organization (Type 2)

Legal business name San Juan Health and Wellness Center

Practice address 4801 N Butler Ave, Ste 1101, Farmington, NM, 87401

Phone (505) 327-0002

Fax (505) 325-9443

Enumeration date May 3, 2017

Last updated in NPPES Dec 29, 2023

Taxonomy & classification

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Secondary

2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Secondary

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Primary

Authorized official

Name Misty Diaz

Title Office Administrator

Phone (505) 327-0002

Other identifiers

Identifier	Type	State	Issuer
86337556	Medicaid	NM	-
2782	Other	NM	LAST FOUR OF TIN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-12-29. Verify at npiregistry.cms.hhs.gov.

Where is San Juan Health and Wellness Center located?

The practice location on file with NPPES is in Farmington, NM.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-12-29.