Active NPI
Theresa J Jones, CRNA
- Certified Registered Nurse Anesthetist
- Roswell, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R41752
- Practice address
- 405 W Country Club Rd
Roswell, NM 88201-5209 - Phone
- (575) 622-8170
- NPI assigned
- Jun 2, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R41752 | NM | Primary |
Addresses
Primary practice location
405 W Country Club Rd
Roswell, NM 88201-5209
Mailing address
405 W Country Club Rd
C/O Mso Administration
Roswell, NM 88201-5209
Phone (575) 622-8170
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R41752 | NM | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates of New Mexico P C | Current | Accepting new patients | |
| Main Street Anesthesia of New Mexico, LLC | Current | Accepting new patients | |
| Texas Anesthesia Specialists PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesia Specialists of Albuquerque | Past | Accepting new patients |
Locations
1720 Louisiana Blvd NE
Ste 401
Albuquerque, NM 87110
Phone (505) 260-4300
1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124
8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000
2100 N Mlk Blvd
Clovis, NM 88101
Phone (505) 769-2141
1901 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-7000
405 W Country Club Rd
Roswell, NM 88201
Phone (505) 622-8170
117 E 19th St
Roswell, NM 88201
Phone (505) 727-2000
Organizations & group practices 4
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.
-
- Specialist
- Albuquerque, NM
- NPI 1912900754
-
- Anesthesiology Physician
- Albuquerque, NM
- NPI 1275010985
-
- Anesthesiology Physician
- Albuquerque, NM
- NPI 1831104215
-
- Anesthesiology Physician
- El Paso, TX
- NPI 1710124490
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212364800000",
"number": "1861651218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 W COUNTRY CLUB RD",
"address_2": "C/O MSO ADMINISTRATION",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882015209",
"telephone_number": "575-622-8170",
"fax_number": "575-624-8711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 W COUNTRY CLUB RD",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882015209",
"telephone_number": "575-622-8170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "THERESA",
"middle_name": "J",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-02",
"last_updated": "2008-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NM",
"license": "R41752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.