Individual provider Active NPI

Tialana Lynn Watts, CNP

  • Family Nurse Practitioner
  • Roswell, NM
National Provider Identifier
1992698690
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
86286 Issued in NM
Practice address
607 W Country Club Rd
Roswell, NM 88201-5211
Phone
(575) 208-7795
NPI assigned
May 31, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 86286 NM Primary
Registered Nurse 163W00000X RN-82240 NM

Addresses

Primary practice location

607 W Country Club Rd
Roswell, NM 88201-5211

Mailing address

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251209001265 NM Practitioner - Nurse Practitioner 4880188770 Reassigns benefits to 2 organizations

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
Rio Pecos Medical Associates LTDGroup PAC ID 5597746875, 10 clinicians

Practice addresses (Care Compare)

305 W Country Club Rd
Roswell, NM 88201-5892
Phone (575) 622-6322

Hospital & facility affiliations

  • Lovelace Regional Hospital - Roswell Hospital, Roswell, NM, CCN 320086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN-82240NMMDRegistered Nurse
86286NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rio Pecos Medical Associates LTD CurrentSince Oct 15, 2025 Accepting new patients
Aspen Family Clinic, LLC Family CurrentSince Oct 15, 2025 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 (817) 201-3958

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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": "1763596800000",
    "number": "1992698690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 W COUNTRY CLUB RD",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015211",
            "telephone_number": "575-208-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 W COUNTRY CLUB RD",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015211",
            "telephone_number": "575-208-7795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "TIALANA",
        "middle_name": "LYNN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-31",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "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 Roswell, NM

Sources for this page

Verify at the official NPI Registry.