Modern Edge Family Practice LLC is a Family Medicine Physician (organization) practicing in Albuquerque, New Mexico. The National Provider Identifier (NPI) is #1083593388, which was assigned on August 29, 2025, and the registration record was last updated on August 29, 2025. The practitioner's main practice location is at 1330 Monte Largo Dr Ne, Albuquerque, NM 87112-6317; the contact telephone number is 5054010052. The primary taxonomy of Modern Edge Family Practice LLC is Family Medicine Physician (207Q00000X). The authorized official for Modern Edge Family Practice LLC is Ms. Sonya Walsh (Owner/Nurse Practitioner).
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
| NPI | 1083593388 |
| Entity Type | Organization |
| Organization Name | MODERN EDGE FAMILY PRACTICE LLC |
| Provider Name | MODERN EDGE FAMILY PRACTICE LLC |
| Practice Address |
1330 Monte Largo Dr Ne Albuquerque NM 87112-6317 |
| Practice Telephone | 5054010052 |
| Mailing Address |
1330 Monte Largo Dr Ne Albuquerque NM 87112-6317 |
| Mailing Telephone | 5054010052 |
| Certification Date | 2025-08-29 |
| Enumeration Date | 2025-08-29 |
| Last Update Date | 2025-08-29 |
| Is Organization Subpart | N |
| Official Name | MS. SONYA WALSH |
| Official Title | OWNER/NURSE PRACTITIONER |
| Credential | CNP |
| Telephone | 5054010052 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 193200000X MULTI-SPECIALTY GROUP |
| Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| Classification | Family Medicine |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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| Dawn Marie Bronico | 1206 Sullivan Trl, Easton, PA 18040-1353 | Family Medicine Physician | 2025-09-06 |
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| Street Address |
1330 MONTE LARGO DR NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87112-6317 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Jack J Greenberg | 2121 Juan Tabo Ne, Albuquerque, NM 87112 | Family Medicine Physician | 2006-07-26 |
| Juniper Counseling Services, LLC | 2601 Wyoming Blvd Ne Ste 212, Albuquerque, NM 87112-1033 | Clinical Social Worker | 2016-01-19 |
| Venus Nicole Oliva | 2801 Eubank Blvd Ne Ste J, Albuquerque, NM 87112-1300 | General Practice Dentistry | 2025-07-14 |
| Matthew Steven Bergsten | 8501 Candelaria Rd Ne Ste E, Albuquerque, NM 87112-1034 | Interventional Pain Medicine Physician | 2014-04-08 |
| Kindling Hope Therapy LLC | 2601 Wyoming Blvd Ne Ste 115b, Albuquerque, NM 87112-1031 | Mental Health Clinic/Center (Including Community Mental Health Center) | 2025-09-04 |
| Jennifer E Chavez | 1505 Marron Circle Ne, Albuquerque, NM 87112 | Mental Health Counselor | 2011-06-07 |
| Christina Marie Hall | 2901 Juan Tabo Blvd Ne Ste 121a, Albuquerque, NM 87112-0003 | Chiropractor | 2012-02-21 |
| Laura K Heinis | 1709 Moon St Ne, Albuquerque, NM 87112 | Professional Counselor | 2009-09-08 |
| Jessica Raab Schneider | 2601 Wyoming Blvd Ne Ste 212, Albuquerque, NM 87112-1033 | Clinical Social Worker | 2006-05-27 |
| Paityn Taylor Jones | 2601 Wyoming Blvd Ne Ste 101, Albuquerque, NM 87112-1000 | Social Worker | 2025-08-12 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |