Individual provider Active NPI

Ma'Ayan D Winter, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Alamogordo, NM
National Provider Identifier
1366623290
Registry record updated May 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CNP-02769 Issued in NM
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

Updated by the provider on May 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101123000916 MA Practitioner - Nurse Practitioner 4385830801 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP-02769NMMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs of Westwood Pembroke Inc CurrentSince Jan 6, 2023 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.

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

Verify at the official NPI Registry.