Rhianna Sue Shaw, APRN-FNPC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

62110 Issued in NM

Practice address

109 W Bland St
Roswell, NM 88203-5708

Phone

(575) 622-7337

Fax

(575) 623-3498

NPI assigned

Dec 14, 2020

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• FHLP LLC

  dba FHL Pediatrics & FHL Pediatrics

  • Pediatrics Physician
  • Roswell, NM
  • NPI 1124446372
  Medicare reassignment NPD
• Rio Pecos Medical Associates LTD

  • Obstetrics & Gynecology Physician
  • Roswell, NM
  • NPI 1033163076
  Medicare reassignment NPD

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1225624273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 THUNDERBIRD LN",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882039386",
            "telephone_number": "620-360-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W BLAND ST",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882035708",
            "telephone_number": "575-622-7337",
            "fax_number": "575-623-3498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "RHIANNA",
        "middle_name": "SUE",
        "credential": "APRN-FNPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-14",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "62110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Jean Serrano, OT
• Melissa Serrano
• Seyed-Hassan Nazirpour-Caloor CFNP LLC
• Charles A. Shannon, RPH
• Ashley Brooke Shaw
• Shekinah Foundation
• Sheridan Childrens Healthcare Services of New Mexico Inc
• Carrie Sherwood
• Ninad P Shet, MD
• Nishka U Shetty, MBBS

• Family Nurse Practitioner in Roswell, NM
• Providers in Roswell, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.