Active NPI
Kathy Garrett
- Registered Nurse
- Cannon Air Force Base, NM
National Provider Identifier
1336967108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R47843
- Practice address
- 224 W. D.L. Ingram
Cannon Air Force Base, NM 88103-3056 - Phone
- (575) 904-4005
- NPI assigned
- Oct 1, 2024
- Last updated
- Oct 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R47843 | NM | Primary |
Addresses
Primary practice location
224 W. D.L. Ingram
Cannon Air Force Base, NM 88103-3056
Mailing address
1508 Layton CT
Clovis, NM 88101-3056
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R47843 | NM | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727740800000",
"number": "1336967108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1508 LAYTON CT",
"city": "CLOVIS",
"state": "NM",
"postal_code": "881013056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 W. D.L. INGRAM",
"city": "CANNON AIR FORCE BASE",
"state": "NM",
"postal_code": "881033056",
"telephone_number": "575-904-4005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRETT",
"first_name": "KATHY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-01",
"last_updated": "2024-10-01",
"certification_date": "2024-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NM",
"license": "R47843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cannon Air Force Base, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.