MARY THERESE MEYERS-MARQUARDT (NPI# 1184673436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184673436 |
| Entity Type | Individual |
| Full Name | MARY THERESE MEYERS-MARQUARDT |
| Credential | APRN, BC, ANP |
| Practice Address |
402 W Country Club Rd Roswell NM 88201-5247 |
| Mailing Address |
2215 Nashville Ave Lubbock TX 79410-1105 |
| Practice Telephone | 5756377000 |
| Practice Fax Number | 5756377019 |
| Mailing Telephone | 8067255844 |
| Mailing Fax Number | 8067236532 |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 256947 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
CNP-02624 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 200646201 | 05 | |
| TX | TEXAS BCBS | 8Y5552 | 01 |
| NM | MEDICARE | 519408YYH0 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2801 Franciscan Dr, Bryan, TX 778022544 | 9797765967 | 9797744849 |
| Street Address |
402 W COUNTRY CLUB RD |
| City | ROSWELL |
| State | NM |
| Zip Code | 88201-5247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033197538 | Sidney Clyde England | Physician Assistant | 402 W Country Club Rd, Roswell, NM 88201-5247 | 2006-01-04 |
| 1750786620 | Jennifer Smoot | Nurse Practitioner | 402 W Country Club Rd, Roswell, NM 88201-5247 | 2014-11-04 |
| 1194169011 | Masoud Khorsand-sahbaie, Md Pa | Internal Medicine | 402 W Country Club Rd, Roswell, NM 88201-5247 | 2013-04-22 |
| 1013263219 | Jelena Markovic | Internal Medicine | 402 W Country Club Rd, Roswell, NM 88201-5247 | 2012-07-25 |
| 1265793319 | Ann M Matakas | Nurse Practitioner | 402 W Country Club Rd, Roswell, NM 88201 | 2012-06-05 |
| 1407880867 | Jose Lujan-palma | Psychiatry & Neurology | 402 W Country Club Rd, Roswell, NM 88201-5247 | 2006-07-10 |
| 1902860075 | Barbara Gloria Whitten | Nurse Practitioner | 402 W Country Club Rd, Roswell, NM 88201 | 2006-04-14 |
| 1568425395 | Hamid Feroze | Internal Medicine | 402 W Country Club Rd, Roswell, NM 88201 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902310022 | Corey A Carter | Specialist/Technologist, Other | 117 E 19th Street, Roswell, NM 88201 | 2017-11-28 |
| 1326598541 | Dove Medical Corporation | Family Medicine | 110 East 3rd Street, Roswell, NM 88201 | 2016-10-12 |
| 1841748381 | Anali Velez | Registered Nurse | 300 N Kentucky, Roswell, NM 88201 | 2016-09-13 |
| 1831647379 | Rebecca Palomino | Registered Nurse | 800 Marion Richards Rd, Roswell, NM 88201 | 2016-09-13 |
| 1215300926 | Heart Path Oriental Medicine | Clinic/Center | 810 N Union, Roswell, NM 88201 | 2015-11-03 |
| 1538564745 | Lacey Scott | Pharmacist | 1835 N. Main, Roswell, NM 88201 | 2014-10-30 |
| 1962815852 | Marium Khan | Internal Medicine | 400 Military Heights Place, Roswell, NM 88201 | 2014-06-09 |
| 1316288913 | Anaya Counseling | Community/Behavioral Health | 613 W 2nd St Ste 4, Roswell, NM 88201 | 2013-03-06 |
| 1205185386 | Rosarita Brady | Occupational Therapist | 300 N. Kentucky, Roswell, NM 88201 | 2012-09-05 |
| 1922360049 | Ashley Spinhirne Thompson | Speech-Language Pathologist | 304 N. Richardson, Roswell, NM 88201 | 2012-06-14 |
| Find all providers in zip 88201 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730555269 | Infectious Disease Services of Ga | Nurse Practitioner | 11660 Alpharetta Hwy, Suite 430, Roswell, GA 30076-4943 | 2015-08-19 |
| 1679949598 | Kayreen Altman | Nurse Practitioner | 11660 Alpharetta Hwy, Suite 430, Roswell, GA 30076-4943 | 2015-08-14 |
| 1932475639 | Brandi Quinn | Nurse Practitioner | 601 Bombay Ln, Roswell, GA 30076-5828 | 2012-03-27 |
| 1649252628 | Cynthia V. Brown | Nurse Practitioner | 1475 Holcomb Bridge Rd, Suite 129, Roswell, GA 30076-2139 | 2005-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619323284 | Amy Elise Lopez | Nurse Practitioner | 4402 Superstition Dr, Las Cruces, NM 88011 | 2016-05-12 |
| 1841662095 | Barbara Lynn Edmunds-kimrey | Nurse Practitioner | 8801 Horizon Blvd., Suite 260, United Health Care- Optum, Albuquerque, NM 87109 | 2015-10-28 |
| 1518341759 | Karen Elizabeth Kirst-millspaugh | Nurse Practitioner | 209 E. Allen Ayers Rd., Estancia, NM 87016 | 2015-07-17 |
| 1336542992 | Fusion Health & Wellness | Nurse Practitioner | 2402 W Pierce St Ste 6g, Ste 6g, Carlsbad, NM 88220-3566 | 2014-09-26 |
| 1609129691 | Wayne Bryan Chowaniec | Nurse Practitioner | Unm Cancer Center Msc07 4025 1201 Camino De, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2012-10-16 |
| 1972853349 | Carla Rae Kychik | Nurse Practitioner | 163 Brannon, Tijeras, NM 87059 | 2012-09-13 |
| 1912208323 | Lisa Marie Meyer | Nurse Practitioner | 2539 Medical Drive, Suite 107, Gerald Champion Regional Medical Center, Alamogordo, NM 88310 | 2010-11-16 |
| 1568777530 | Jacqueline Del Val | Nurse Practitioner | 622 W Maple St Ste F, Farmington, NM 87401-6589 | 2010-08-13 |
| 1548439060 | Lynn Engler | Nurse Practitioner | Msc10 5550 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2008-02-28 |
| 1720269178 | Jodi A. Dettman | Nurse Practitioner | 104 Quail Trl Unit B, Edgewood, NM 87015-7185 | 2007-11-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MARY THERESE MEYERS-MARQUARDT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.