Individual provider Active NPI

Mercedes Hidalgo Martinez, CPNP

  • Pediatric Registered Nurse
  • El Paso, TX
National Provider Identifier
1023170859
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Registered NurseTaxonomy code 163WP0200X
License
651645 Issued in TX
Practice address
10755 Kenworthy St
El Paso, TX 79924-1717
Phone
(915) 821-5900
Fax
(915) 821-5902
NPI assigned
Dec 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse 163WP0200X 651645 TX Primary

Addresses

Primary practice location

10755 Kenworthy St
El Paso, TX 79924-1717

Mailing address

10755 Kenworthy St
El Paso, TX 79924-1717
Phone (915) 821-5900

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)
Not enrolled
Credentials
Certified Pediatric Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
651645TXMDPediatric Registered Nurse

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIBHCD/Endpoint/DIBHCD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023170859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10755 KENWORTHY ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799241717",
            "telephone_number": "915-821-5900",
            "fax_number": "915-821-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10755 KENWORTHY ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799241717",
            "telephone_number": "915-821-5900",
            "fax_number": "915-821-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MERCEDES",
        "middle_name": "HIDALGO",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "TX",
            "license": "651645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.