Individual provider Active NPI

Terry Waters, CNP

  • Family Nurse Practitioner
  • Espanola, NM
National Provider Identifier
1801316740
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP-03263 Issued in NM
Practice address
2010 Industrial Park Rd
Espanola, NM 87532-3600
Phone
(505) 753-7395
Fax
(505) 753-8373
NPI assigned
Jun 21, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP-03263 NM Primary

Addresses

Primary practice location

2010 Industrial Park Rd
Espanola, NM 87532-3600

Mailing address

2010 Industrial Park Rd
Espanola, NM 87532-3600
Phone (505) 927-7912

Other practice location 1

605 Letrado St
Santa Fe, NM 87505-4146
Phone (505) 476-2600

Other practice location 2

10 Avenida De Molino
Espanola, NM 87532-9865
Phone (505) 927-7912

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
I20180110000921 NM Practitioner - Nurse Practitioner 7113286501 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP-03263NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
El Centro Family Health CurrentSince Dec 20, 2017 Accepting new patients
El Centro Family Health CurrentSince Dec 20, 2017 Accepting new patients
State of New Mexico Past Accepting new patients
El Centro Family Health Past Accepting new patients
El Centro Family Health PastSince Dec 20, 2017 Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients

Locations

711 E Bond St
Espanola, NM 87532
Phone (505) 753-9503

111 N Railroad Ave
Espanola, NM 87532
Phone (505) 753-7218

2010 Industrial Park Rd
Espanola, NM 87532
Phone (505) 753-3143

Organizations & group practices 6

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": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1801316740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 INDUSTRIAL PARK RD",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875323600",
            "telephone_number": "505-927-7912",
            "fax_number": "505-753-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 INDUSTRIAL PARK RD",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875323600",
            "telephone_number": "505-753-7395",
            "fax_number": "505-753-8373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 Letrado St",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875054146",
            "country_code": "US",
            "telephone_number": "505-476-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Avenida De Molino",
            "address_purpose": "LOCATION",
            "city": "Espanola",
            "state": "NM",
            "postal_code": "875329865",
            "country_code": "US",
            "telephone_number": "505-927-7912",
            "fax_number": "505-370-2810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATERS",
        "first_name": "TERRY",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-03263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Espanola, NM

Sources for this page

Verify at the official NPI Registry.