Individual provider Active NPI

Roselind Renee Williams, DNP, FNP-BC

  • Nurse Practitioner
  • Las Cruces, NM
National Provider Identifier
1649340993
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CNP00943 Issued in NM
Practice address
999 W Amador Ave
Las Cruces, NM 88005-2739
Phone
(575) 527-5482
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health/Public Health Clinical Nurse Specialist 364SC1501X CNS-00232 NM
Nurse Practitioner 363L00000X CNP00943 NM Primary

Addresses

Primary practice location

999 W Amador Ave
Las Cruces, NM 88005-2739

Mailing address

999 W Amador Ave
Las Cruces, NM 88005-2739
Phone (575) 527-5482

Other practice location 1

Student Health Center MSC 3529
Las Cruces, NM 88003-8001
Phone (505) 646-8304

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP00943NMMDNurse Practitioner
CNS-00232NMMDCommunity Health/Public Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1649340993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 W AMADOR AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052739",
            "telephone_number": "575-527-5482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 W AMADOR AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052739",
            "telephone_number": "575-527-5482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Student Health Center MSC 3529",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880038001",
            "country_code": "US",
            "telephone_number": "505-646-8304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ROSELIND",
        "middle_name": "RENEE",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SC1501X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Community Health/Public Health",
            "state": "NM",
            "license": "CNS-00232",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "CNP00943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.