Active NPI
Tialana Lynn Watts, CNP
- Family Nurse Practitioner
- Ruidoso, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 86286
- Practice address
- 1214 Mechem Dr Ste B
Ruidoso, NM 88345-5564 - Phone
- (575) 286-0050
- Fax
- (575) 616-7466
- NPI assigned
- May 31, 2025
- Last updated
- Oct 8, 2026
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 86286 | NM | Primary |
| Registered Nurse | 163W00000X | RN-82240 | NM |
Addresses
Primary practice location
1214 Mechem Dr Ste B
Ruidoso, NM 88345-5564
Mailing address
PO Box 96362
Phoenix, AZ 85072-6362
Phone (575) 286-0050
Other practice location 1
607 W Country Club Rd
Roswell, NM 88201-5211
Phone (575) 208-7795
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
305 W Country Club Rd
Roswell, NM 88201-5892
Phone (575) 622-6322
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-82240 | NM | MD | Registered Nurse |
| 86286 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rio Pecos Medical Associates LTD | Current | Accepting new patients | |
| Aspen Family Clinic, LLC | Family | Current | Accepting new patients |
Locations
305 W Country Club Rd
Roswell, NM 88201
Phone (505) 622-6322
607 W Country Club Rd
Roswell, NM 88201
Phone (575) 208-7795
1214 Mechem Dr
Ste B
Ruidoso, NM 88345
Phone (575) 286-0050
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.
-
- Obstetrics & Gynecology Physician
- Roswell, NM
- NPI 1033163076
-
- Family Nurse Practitioner
- Ruidoso, NM
- NPI 1205632601
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lovelace Regional Hospital-Roswell
- General Acute Care Hospital
- Roswell, NM
- NPI 1972878361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791417600000",
"number": "1992698690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 96362",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850726362",
"telephone_number": "575-286-0050",
"fax_number": "575-616-7466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1214 MECHEM DR STE B",
"city": "RUIDOSO",
"state": "NM",
"postal_code": "883455564",
"telephone_number": "575-286-0050",
"fax_number": "575-616-7466"
}
],
"practiceLocations": [
{
"address_1": "607 W Country Club Rd",
"address_purpose": "LOCATION",
"city": "Roswell",
"state": "NM",
"postal_code": "882015211",
"country_code": "US",
"telephone_number": "575-208-7795",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WATTS",
"first_name": "TIALANA",
"middle_name": "LYNN",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-31",
"last_updated": "2026-10-08",
"certification_date": "2026-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "86286",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NM",
"license": "RN-82240",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.