Healthcare Provider Details

I. General information

NPI: 1184561284
Provider Name (Legal Business Name): SIERRA PEDIATRICS AND FAMILY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 S FLORIDA AVE STE E
ALAMOGORDO NM
88310-6010
US

IV. Provider business mailing address

115 S FLORIDA AVE STE E
ALAMOGORDO NM
88310-6010
US

V. Phone/Fax

Practice location:
  • Phone: 802-272-1821
  • Fax:
Mailing address:
  • Phone: 802-272-1821
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JAMIE NICOLE ROBILLARD
Title or Position: OWNER/CLINCIAN
Credential: FNP
Phone: 802-272-1821