Individual provider Active NPI

Katherine M Thatcher, CNP

  • Nurse Practitioner
  • Roswell, NM
National Provider Identifier
1023380615
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CNP01930 Issued in NM
Practice address
106 N Delaware Ave
Roswell, NM 88203-3042
Phone
(575) 973-8543
Fax
(575) 578-1901
NPI assigned
Jan 30, 2012
Last updated
Mar 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP-01930 NM
Nurse Practitioner 363L00000X CNP01930 NM Primary

Addresses

Primary practice location

106 N Delaware Ave
Roswell, NM 88203-3042

Mailing address

1511 S Grand Ave
Roswell, NM 88203-5407
Phone (575) 623-3255

Other identifiers 1

IdentifierTypeStateIssuer
67478069MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120927000212 NM Practitioner - Nurse Practitioner 4587813019 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP01930NMMDNurse Practitioner
CNP-01930NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Special Needs Consulting LLC CurrentSince Mar 24, 2024 Accepting new patients
Seek First Health LLC CurrentSince Apr 8, 2024 Accepting new patients

Locations

106 N Delaware Ave
Roswell, NM 88203
Phone (575) 420-9380

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1023380615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 S GRAND AVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882035407",
            "telephone_number": "575-623-3255",
            "fax_number": "575-625-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 N DELAWARE AVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882033042",
            "telephone_number": "575-973-8543",
            "fax_number": "575-578-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THATCHER",
        "first_name": "KATHERINE",
        "middle_name": "M",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-30",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-01930",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "CNP01930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "67478069",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

Verify at the official NPI Registry.