Individual provider Active NPI

Roger Willcoxen, RRT, AE-C

  • Registered Respiratory Therapist
  • Roswell, NM
National Provider Identifier
1134469455
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
2083 Issued in NM
Practice address
302 N Main St
Roswell, NM 88201-4725
Phone
(575) 317-1253
Fax
(575) 622-4220
NPI assigned
Feb 22, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X 2083 NM Primary

Addresses

Primary practice location

302 N Main St
Roswell, NM 88201-4725

Mailing address

302 N Main St
Roswell, NM 88201-4725
Phone (575) 317-1253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2083NMMDRegistered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1361491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361491200000",
    "number": "1134469455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 N MAIN ST",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882014725",
            "telephone_number": "575-317-1253",
            "fax_number": "575-622-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 N MAIN ST",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882014725",
            "telephone_number": "575-317-1253",
            "fax_number": "575-622-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLCOXEN",
        "first_name": "ROGER",
        "credential": "RRT, AE-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-22",
        "last_updated": "2013-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "NM",
            "license": "2083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.