Active NPI
Rosalie Marie Gwaltney, CRNA
- Anesthesiology Physician
- Lovington, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- CRNA00756
- Practice address
- 1600 North Main
Lovington, NM 88260-2830 - Phone
- (575) 396-6611
- Fax
- (575) 396-1454
- NPI assigned
- Sep 1, 2006
- Last updated
- Sep 2, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 044788RN | MO | |
| Anesthesiology Physician | 207L00000X | CRNA00756 | NM | Primary |
Addresses
Primary practice location
1600 North Main
Lovington, NM 88260-2830
Mailing address
1600 North Main
Lovington, NM 88260-2830
Phone (575) 396-6611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44235097 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044788RN | MO | MD | Anesthesiology Physician |
| CRNA00756 | NM | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nor-Lea Hospital District | Current | Accepting new patients | |
| Freeman Neosho Hospital | Anesthesiology | Past | Accepting new patients |
| Roswell Hospital Corporation | Past | Accepting new patients | |
| Verde Valley Medical Center | Past | Accepting new patients | |
| Deming Hospital Corporation | Anesthesiology | Past | Accepting new patients |
| Mercy Kansas Communities Inc | Past | Accepting new patients | |
| Roswell Hospital Corporation | Past | Accepting new patients | |
| San Miguel Hospital Corporation | Past | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
515 E Main St
Hobbs, NM 88240
Phone (575) 397-0560
1600 N Main Ave
Lovington, NM 88260
Phone (575) 396-6611
1600 N Main Ave
Ste A
Lovington, NM 88260
Phone (505) 396-3529
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- Lovington, NM
- NPI 1881630036
-
dba Mimbres Memorial Hosp - Anest & Pain Mgt
- Pain Medicine (Anesthesiology) Physician
- Deming, NM
- NPI 1386850519
-
dba Valley Health Clinic of Eastern New Mexico
- Rural Health Clinic/Center
- Dexter, NM
- NPI 1225161474
-
dba Eastern New Mexico Medical Center
- Family Medicine Physician
- Roswell, NM
- NPI 1427001759
-
dba Alta Vista Regional Hospital
- Medicare Defined Swing Bed Hospital Unit
- Las Vegas, NM
- NPI 1598537862
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
-
dba Freeman Neosho Anesthesiology
- Anesthesiology Physician
- Neosho, MO
- NPI 1164451746
-
- Emergency Care Clinic/Center
- Independence, KS
- NPI 1417064957
-
- General Acute Care Hospital
- Cottonwood, AZ
- NPI 1346291648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472774400000",
"number": "1376645598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 NORTH MAIN",
"city": "LOVINGTON",
"state": "NM",
"postal_code": "882602830",
"telephone_number": "575-396-6611",
"fax_number": "575-396-1454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 NORTH MAIN",
"city": "LOVINGTON",
"state": "NM",
"postal_code": "882602830",
"telephone_number": "575-396-6611",
"fax_number": "575-396-1454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GWALTNEY",
"first_name": "ROSALIE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-01",
"last_updated": "2016-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MO",
"license": "044788RN",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NM",
"license": "CRNA00756",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "44235097",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lovington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.