Individual provider Active NPI

Ryann H Putman, N.P.

  • Family Nurse Practitioner
  • Roswell, NM
National Provider Identifier
1790912657
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP01565 Issued in NM
Practice address
400 N Pennsylvania Ave # 101
Roswell, NM 88201-4754
Phone
(575) 623-9101
NPI assigned
Jun 18, 2009
Last updated
Apr 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 721608 TX
Family Nurse Practitioner 363LF0000X CNP01565 NM Primary

Addresses

Primary practice location

400 N Pennsylvania Ave # 101
Roswell, NM 88201-4754

Mailing address

400 N Pennsylvania Ave # 101
Roswell, NM 88201-4754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20141016000784 NM Practitioner - Nurse Practitioner 1355562372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spine and Orthopedic Center of New Mexico PCGroup PAC ID 3870727175, 9 clinicians

Practice addresses (Care Compare)

400 N Pennsylvania Ave
Suite 101
Roswell, NM 88201-4754
Phone (575) 623-9101

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.71 of 100Reported as group
Quality
72.9
Promoting interoperability
100
Improvement activities
40
Cost
73.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP01565NMMDFamily Nurse Practitioner
721608TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spine and Orthopedic Center of New Mexico PC CurrentSince Aug 13, 2014 Accepting new patients

Locations

400 N Pennsylvania Ave
Ste 101
Roswell, NM 88201
Phone (575) 623-9101

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7206/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ryann.putman.1@7206.direct.athenahealth.com

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1790912657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N PENNSYLVANIA AVE # 101",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882014754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N PENNSYLVANIA AVE # 101",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882014754",
            "telephone_number": "575-623-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTMAN",
        "first_name": "RYANN",
        "middle_name": "H",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-18",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "721608",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP01565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

Verify at the official NPI Registry.