Active NPI
Ma'Ayan D Winter, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Alamogordo, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- CNP-02769
- Practice address
- 1215 New York Ave
Alamogordo, NM 88310-6727 - Phone
- (575) 415-4768
- NPI assigned
- Nov 20, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CNP-02769 | NM | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN2259895 | MA |
Addresses
Primary practice location
1215 New York Ave
Alamogordo, NM 88310-6727
Mailing address
1215 New York Ave
Alamogordo, NM 88310-6727
Phone (575) 415-4768
Other practice location 1
438 Desert Lakes Rd
Alamogordo, NM 88310-7718
Phone (603) 707-8285
Other practice location 2
178 Savin St
Community Counseling Service, Flr 2
Malden, MA 02148-2329
Phone (781) 338-7250 ext. 7262
Other practice location 3
2669 Scenic Dr
Alamogordo, NM 88310-8700
Phone (575) 415-4768
Other names 1
- Stefanie M Winter
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP-02769 | NM | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uhs of Westwood Pembroke Inc | Current | Accepting new patients | |
| Hallmark Health System Inc | Mental Health | Past | Accepting new patients |
| The Commonwealth of Massachusetts | Past | Accepting new patients |
Locations
199 Oak St
Pembroke, MA 02359
Phone (781) 829-7000
Organizations & group practices 3
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.
-
- Psychiatric Hospital
- Westwood, MA
- NPI 1760453328
-
- Long Term Care Hospital
- Jamaica Plain, MA
- NPI 1568532273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621036800000",
"number": "1366623290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 NEW YORK AVE",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883106727",
"telephone_number": "575-415-4768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 NEW YORK AVE",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883106727",
"telephone_number": "575-415-4768"
}
],
"practiceLocations": [
{
"address_1": "438 Desert Lakes Rd",
"address_purpose": "LOCATION",
"city": "Alamogordo",
"state": "NM",
"postal_code": "883107718",
"country_code": "US",
"telephone_number": "603-707-8285",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "178 Savin St",
"address_2": "Community Counseling Service, Flr 2",
"address_purpose": "LOCATION",
"city": "Malden",
"state": "MA",
"postal_code": "021482329",
"country_code": "US",
"telephone_number": "781-338-7250 x7262",
"fax_number": "781-338-7245",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2669 Scenic Dr",
"address_purpose": "LOCATION",
"city": "Alamogordo",
"state": "NM",
"postal_code": "883108700",
"country_code": "US",
"telephone_number": "575-415-4768",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WINTER",
"first_name": "MA'AYAN",
"middle_name": "D",
"credential": "PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-20",
"last_updated": "2021-05-15",
"certification_date": "2021-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NM",
"license": "CNP-02769",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MA",
"license": "RN2259895",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEFANIE",
"last_name": "WINTER",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Alamogordo, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2021; 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.