Active NPI
Jeanne Monske, C.P.N.P.
- Pediatric Nurse Practitioner
- Ruidoso, NM
National Provider Identifier
1245339951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- R24569
- Practice address
- 1401 Sudderth Dr
Ruidoso, NM 88345-6104 - Phone
- (575) 257-7712
- Fax
- (575) 257-4513
- NPI assigned
- Sep 21, 2006
- Last updated
- Apr 11, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | R24569 | NM | Primary |
Addresses
Primary practice location
1401 Sudderth Dr
Ruidoso, NM 88345-6104
Mailing address
30 Adobe Ranch TRL
Alamogordo, NM 88310-4193
Phone (505) 437-2665
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)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R24569 | NM | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roswell Clinic Corp | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Roswell, NM
- NPI 1649267618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207872000000",
"number": "1245339951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 ADOBE RANCH TRL",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883104193",
"telephone_number": "505-437-2665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 SUDDERTH DR",
"city": "RUIDOSO",
"state": "NM",
"postal_code": "883456104",
"telephone_number": "575-257-7712",
"fax_number": "575-257-4513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONSKE",
"first_name": "JEANNE",
"credential": "C.P.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2008-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NM",
"license": "R24569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ruidoso, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.