Active NPI
Roswell Family Care, LLC
- Family Nurse Practitioner
- Roswell, NM
National Provider Identifier
1134499262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- ROSWELL FAMILY CARE, LLC
- Practice address
- 614 N Main St
Roswell, NM 88201-4824 - Phone
- (719) 203-5023
- Fax
- (719) 503-5024
- NPI assigned
- Jan 5, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Elizabeth Schear
- Title
- Office Manager
- Phone
- (719) 203-5023
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
614 N Main St
Roswell, NM 88201-4824
Mailing address
614 N Main St
Roswell, NM 88201-4824
Phone (719) 203-5023
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15454380 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120628000277 | NM | Part B Supplier - Clinic/Group Practice | 0941465710 |
Receives reassigned benefits from 6 practitioners Practice locations: Roswell, NM |
National Provider Directory
National Provider DirectoryLocations
1107 N Main St
Roswell, NM 88201
Phone (575) 622-5705
614 N Main St
Roswell, NM 88201
Phone (575) 622-5705
Practitioners & affiliated clinicians
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Roswell, NM
- NPI 1770432007
-
- Nurse Practitioner
- Roswell, NM
- NPI 1508235029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453766400000",
"number": "1134499262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "614 N MAIN ST",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882014824",
"telephone_number": "719-203-5023",
"fax_number": "719-503-5024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "614 N MAIN ST",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882014824",
"telephone_number": "719-203-5023",
"fax_number": "719-503-5024"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSWELL FAMILY CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-05",
"last_updated": "2016-01-26",
"status": "A",
"authorized_official_last_name": "SCHEAR",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "719-203-5023",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "15454380",
"state": "NM"
}
],
"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 Jan 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.