Active NPI
Jonna Winn Marion, FNP
- Nurse Practitioner
- Ruidoso, NM
National Provider Identifier
1952392474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 646748
- Practice address
- 2000 Sudderth Dr
Ruidoso, NM 88345-6119 - Phone
- (806) 592-1060
- NPI assigned
- Nov 3, 2005
- Last updated
- Jan 1, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP114369 | TX | |
| Nurse Practitioner | 363L00000X | 646748 | TX | Primary |
Addresses
Primary practice location
2000 Sudderth Dr
Ruidoso, NM 88345-6119
Mailing address
1202 Belaire Ave
Denver City, TX 79323-9547
Phone (806) 215-5564
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 137227806 | Medicaid | TX | |
| 137227810 | Medicaid | TX | |
| 0082EV | Other | TX | BLUE CROSS/BLUE SHIELD |
| HH0448 | Other | TX | BCBS |
Other names 1
- Jonna Winn Lindsey
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
| License | State | Type | Specialty |
|---|---|---|---|
| 646748 | TX | MD | Nurse Practitioner |
| AP114369 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Yoakum | Past | Accepting new patients | |
| County of Yoakum | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba West Texas Medical Center
- Rural Health Clinic/Center
- Denver City, TX
- NPI 1306849633
-
dba Yoakum County Hospital
- Medicare Defined Swing Bed Hospital Unit
- Denver City, TX
- NPI 1760693170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546300800000",
"number": "1952392474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 BELAIRE AVE",
"city": "DENVER CITY",
"state": "TX",
"postal_code": "793239547",
"telephone_number": "806-215-5564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 SUDDERTH DR",
"city": "RUIDOSO",
"state": "NM",
"postal_code": "883456119",
"telephone_number": "806-592-1060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARION",
"first_name": "JONNA",
"middle_name": "WINN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-03",
"last_updated": "2019-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP114369",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "646748",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137227806",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137227810",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "0082EV",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "HH0448",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JONNA",
"last_name": "LINDSEY",
"middle_name": "WINN",
"credential": "FNP-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ruidoso, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.