Tia M Roes, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

145 Don Pasqual NW
Los Lunas, NM 87031

Phone

(505) 865-4618

Fax

(505) 224-8727

NPI assigned

Aug 2, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: troes207735@direct.phs.org

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375401600000",
    "number": "1003248931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 ARROYO DR",
            "city": "SOCORRO",
            "state": "NM",
            "postal_code": "878014403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 DON PASQUAL NW",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "87031",
            "telephone_number": "505-865-4618",
            "fax_number": "505-224-8727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROES",
        "first_name": "TIA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-02",
        "last_updated": "2013-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Ann Rodgers, LISW
• Denise Rodriguez Esquivel, PH.D.
• Daniel James Rodriguez, RPH
• Sharrae L Rodriguez, MS MCHC
• Kylie Jo Roe
• Mia Rogers
• Daisy Leonor Rojo
• Alisha J Romero-Moore
• Epiphany Romero
• Karen E Romero, LMSW

• Physician Assistant in Los Lunas, NM
• Providers in Los Lunas, NM by specialty
• Physician Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.