Ronda Renee Anaya, CNP
Individual provider Active NPI Family Nurse Practitioner · Clovis, NM
NPI 1811025331 · NPPES record last updated Oct 5, 2015
Key facts
- NPI
- 1811025331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- CNP00625 (NM)
- Practice address
- 1216 Cameo St
Clovis, NM 88101-5571 - Phone
- (575) 763-5583
- Fax
- (575) 763-1842
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250206000314 | NM | Order and Referring Only - Nurse Practitioner | 5294045522 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP00625 | NM | Yes |
Addresses
Primary practice location
1216 Cameo St
Clovis, NM 88101-5571
Mailing address
1216 Cameo St
Clovis, NM 88101-5571
Phone (575) 763-5583
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12674711 | Medicaid | NM |
Other providers in Clovis, NM
- Maria Dolores Amaro
- Jacqueline Nicole Ambrus
- American Arthritis & Rheumatology Associates - NM LLC
- Basil A Anaele
- Charlene Anaele
- Sarah Elizabeth Anderson
- Ivone Andrade
- Kynadie Andrews
- Kristian Cheyenne Antillon
- Adora Anudu
All providers in Clovis, NM · Family Nurse Practitioner in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.