Individual provider Active NPI

Annie Rafter, CNP, RN

  • Primary Care Nurse Practitioner
  • Santa Fe, NM
National Provider Identifier
1598863342
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
CNP00587 Issued in NM
Practice address
1925 Rosina St
Suite E
Santa Fe, NM 87505
Phone
(505) 984-8262
Fax
(505) 984-1312
NPI assigned
Sep 20, 2006
Last updated
Sep 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X R29765 NM
Primary Care Nurse Practitioner 363LP2300X R29765 NM
Primary Care Nurse Practitioner 363LP2300X CNP00587 NM Primary

Addresses

Primary practice location

1925 Rosina St
Suite E
Santa Fe, NM 87505

Mailing address

1925 Rosina St
Suite E
Santa Fe, NM 87505
Phone (505) 984-8262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 1998 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
CNP00587NMMDPrimary Care Nurse Practitioner
R29765NMMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1598863342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 ROSINA ST",
            "address_2": "SUITE E",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87505",
            "telephone_number": "505-984-8262",
            "fax_number": "505-984-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 ROSINA ST",
            "address_2": "SUITE E",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87505",
            "telephone_number": "505-984-8262",
            "fax_number": "505-984-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFTER",
        "first_name": "ANNIE",
        "name_prefix": "Ms.",
        "credential": "CNP, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NM",
            "license": "R29765",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NM",
            "license": "R29765",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NM",
            "license": "CNP00587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.