Mayra Srader, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R58036 Issued in NM

Practice address

1300 S Iron St
Deming, NM 88030-5040

Phone

(575) 546-3123

NPI assigned

Jan 11, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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.

• Southwest Regional Education Cooperative

  • Local Education Agency (LEA)
  • Deming, NM
  • NPI 1114081858
  NPD

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1326799495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 E POPLAR ST",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880304807",
            "telephone_number": "575-546-5951",
            "fax_number": "575-546-5994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S IRON ST",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880305040",
            "telephone_number": "575-546-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRADER",
        "first_name": "MAYRA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "R58036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southwest Bone and Joint Institute PC
• Southwest Pediatric and Family Care, LLC
• Southwest Regional Education Cooperative
• Southwest Therapeutics LLC
• Southwest Therapists Inc
• St Martin de Porres Eye Clinic PC
• Brian A Stanton, MD
• Kathryn Dianne Stephens, LPCC
• Stevens Chiropractic Center LLC
• Shannon Marie Stevens, M. S. P. T.

• All providers in Deming, NM
• Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.