NPIMap

Organization Active NPI

Enmu-Roswell

  • Nurse Practitioner
  • Roswell, NM
National Provider Identifier
1275531535
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
10725 Issued in NM
Legal business name
ENMU-ROSWELL
Practice address
809 W Alameda St
Roswell, NM 88203-3801
Phone
(505) 625-6975
NPI assigned
Jul 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jane Batson, RN, MA
Title
Division Chairperson
Phone
(505) 624-7233

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363L00000X 10725 NM Primary
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363L00000X 30665 NM

Addresses

Primary practice location

809 W Alameda St
Roswell, NM 88203-3801

Mailing address

PO Box 6000
Roswell, NM 88202-6000
Phone (505) 624-7233

National Provider Directory

National Provider Directory
Tax ID family
Enmu-Roswell6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

809 W Alameda St
Roswell, NM 88203
Phone (505) 625-6975

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275531535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6000",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882026000",
            "telephone_number": "505-624-7233",
            "fax_number": "505-624-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 W ALAMEDA ST",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882033801",
            "telephone_number": "505-625-6975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENMU-ROSWELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BATSON",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "DIVISION CHAIRPERSON",
        "authorized_official_telephone_number": "505-624-7233",
        "authorized_official_credential": "RN, MA"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "10725",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "30665",
            "primary": false
        }
    ],
    "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 Aug 22, 2020; 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.