ENMU-ROSWELL (NPI# 1275531535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275531535 |
| Entity Type | Organization |
| Organization Name | ENMU-ROSWELL |
| Practice Address |
809 W Alameda St Roswell NM 88203-3801 |
| Mailing Address |
Po Box 6000 Roswell NM 88202-6000 |
| Practice Telephone | 5056256975 |
| Mailing Telephone | 5056247233 |
| Mailing Fax Number | 5056247100 |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JANE BATSON (DIVISION CHAIRPERSON) |
| Authorized Official Telephone | 5056247233 |
| Authorized Official Credential | RN, MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 30665 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363L00000X | Nurse Practitioner | 10725 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
809 W ALAMEDA ST |
| City | ROSWELL |
| State | NM |
| Zip Code | 88203-3801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770115586 | Katherine Bolin | Behavior Technician | 333 West Brasher Rd. #200, Roswell, NM 88203 | 2020-02-10 |
| 1437660040 | Pecos Valley Eye Surgery Center, LLC | Clinic/Center | 1610 Se Main Street, Roswell, NM 88203 | 2017-10-23 |
| 1285031286 | Wheelchair and Walker Rentals, Inc. | Durable Medical Equipment & Medical Supplies | 305 W Mcgaffey St, Roswell, NM 88203 | 2014-11-20 |
| 1447585914 | Whole World Health Care, PC | Pediatrics | 109 W. Bland, Roswell, NM 88203 | 2009-10-16 |
| 1780825372 | Complete Rehab Adult Services | Clinic/Center | 109 W Bland, Roswell, NM 88203 | 2009-03-12 |
| 1710127220 | Roswell Medical Care | Health Maintenance Organization | 111 W Hobbs, Roswell, NM 88203 | 2009-02-23 |
| 1336330513 | Savitri Aguiar | Internal Medicine | 1511 South Grand, Roswell, NM 88203 | 2007-08-05 |
| 1750455523 | Francisco Casio Bicol Jr. | Occupational Therapist | 200 W 1st St Ste 527, Roswell, NM 88203 | 2006-11-20 |
| 1699861542 | Susan Lee Voigt | Counselor | 200 W 1st, Ste 532, Roswell, NM 88203 | 2006-10-05 |
| 1245336940 | Founders Healthcare LLC | Durable Medical Equipment & Medical Supplies | 104 N Missouri Ave, Roswell, NM 88203 | 2006-09-16 |
| Find all providers in zip 88203 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780217513 | Abigail Drew Pothen | Nurse Practitioner | 11660 Alpharetta Hwy Ste 700, Roswell, GA 30076-4956 | 2020-02-20 |
| 1295367464 | Haley Hodoval | Nurse Practitioner | 1250 Upper Hembree Rd Ste B, Roswell, GA 30076-4651 | 2020-02-06 |
| 1306477153 | Jessica Mae Kirby | Nurse Practitioner | 2370 Ashton Dr, Roswell, GA 30076-4232 | 2020-01-30 |
| 1659921625 | Charmaine P Grant | Nurse Practitioner | 540 E Crossville Rd Ste 210, Roswell, GA 30075-7661 | 2019-09-12 |
| 1720190515 | Tina H Strickland | Nurse Practitioner | 1380 Upper Hembree Road, Roswell, GA 30076 | 2006-08-31 |
| 1073523478 | Kimberly A Hansen | Nurse Practitioner | 109 W Bland St, Roswell, NM 88203-5708 | 2006-08-08 |
| 1881602274 | Heather A Carl | Nurse Practitioner | 1295 Hembree Rd Ste 101, Roswell, GA 30076-5721 | 2006-08-03 |
| 1831180405 | Katherine E Mallion | Nurse Practitioner | 1511 S Grand Ave, Roswell, NM 88203-5407 | 2005-11-02 |
| 1457340978 | Ingrid Lea Bloomfield | Nurse Practitioner | 4500 Hospital Blvd Ste 320, Roswell, GA 30076-0001 | 2005-10-18 |
| 1467445262 | North Fulton Anesthesia Associates PC | Nurse Practitioner | 3000 Hospital Blvd, Roswell, GA 30076-4915 | 2005-08-26 |
| Find all providers in ROSWELL | ||||
Please comment or provide details below to improve the information on ENMU-ROSWELL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.