Theresa Treas-Cornelius, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R48424 Issued in NM

Practice address

318 Abalone Loop
Mescalero, NM 88340

Phone

(505) 464-4441

Fax

(505) 464-4422

NPI assigned

Sep 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114022894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 CRESCENT DR",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883103837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 ABALONE LOOP",
            "city": "MESCALERO",
            "state": "NM",
            "postal_code": "88340",
            "telephone_number": "505-464-4441",
            "fax_number": "505-464-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREAS-CORNELIUS",
        "first_name": "THERESA",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "R48424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James E Smith, RN
• Edward Manning Sprowl III, PAC
• Christopher Studds
• Denise M Torres, LPN
• Reginelle Tortilla
• Cody J Turnbow, COTA/L
• Wesley Luis Vargas-Araya, MD
• Patrick Norman Vigil II, MT (AAB)
• Holly K Wilson
• Avalon Santana Zakazakina, RN

• Registered Nurse in Mescalero, NM
• Providers in Mescalero, NM by specialty
• Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.