Cynthia Amaya, CPNP-PC
Individual provider Active NPI Pediatrics Physician · Roswell, NM
NPI 1104497148 · NPPES record last updated Jul 9, 2021
Key facts
- NPI
- 1104497148
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- APRN-CNP-64439 (NM)
- Practice address
- 813 N Washington Ave
Roswell, NM 88201-3941 - Phone
- (575) 622-2606
- NPI assigned
- Jul 9, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210909002137 | NM | Practitioner - Pediatric Medicine | 9931505377 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN-CNP-64439 | NM | MD | Pediatrics Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | APRN-CNP-64439 | NM | Yes |
Addresses
Primary practice location
813 N Washington Ave
Roswell, NM 88201-3941
Mailing address
813 N Washington Ave
Roswell, NM 88201-3941
Phone (575) 622-2606
Other providers in Roswell, NM
- Natalie Alonso
- Alpha Home Care, LLC
- Alto Medical Services, PC
- Leticia Alvarado-Mize
- Dianna Alvarez
- American Homepatient, Inc.
- Ameripath Lubbock 501a Corporation
- Anaya Counseling
- Melvin Gabriel Anaya
- Ann S Anderson
All providers in Roswell, NM · Pediatrics Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.