Active NPI
Randall James McGuire, CFNP
- Nurse Practitioner
- Roswell, NM
National Provider Identifier
1962481986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R38567
- Practice address
- 1627 S Union Ave
Roswell, NM 88203-2656 - Phone
- (575) 621-2007
- Fax
- (575) 208-0700
- NPI assigned
- Jan 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R38567 | NM | Primary |
Addresses
Primary practice location
1627 S Union Ave
Roswell, NM 88203-2656
Mailing address
PO Box 1555
Roswell, NM 88202-1555
Phone (575) 208-0106
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NM006G23 | Other | NM | BCBS |
| R6548 | Medicaid | NM | |
| 52771555 | Medicaid | NM | |
| NM011928 | Other | NM | BCBS |
| P00224839 | Other | RR MEDICARE |
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 |
|---|---|---|---|
| R38567 | NM | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roswell Clinic Corp | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Roswell, NM
- NPI 1649267618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574208000000",
"number": "1962481986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1555",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882021555",
"telephone_number": "575-208-0106",
"fax_number": "575-208-0700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1627 S UNION AVE",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882032656",
"telephone_number": "575-621-2007",
"fax_number": "575-208-0700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGUIRE",
"first_name": "RANDALL",
"middle_name": "JAMES",
"credential": "CFNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-10",
"last_updated": "2019-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NM",
"license": "R38567",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "NM006G23",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "R6548",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "52771555",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "NM011928",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00224839",
"state": null
}
],
"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 Nov 20, 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.