Individual provider Active NPI

Andrea Eloisa Salcedo, ACAGNP-BC RN

  • Acute Care Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1023630977
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP1455945 Issued in TX
Practice address
1205 N Oregon St
El Paso, TX 79902-4023
Phone
(915) 533-4900
NPI assigned
May 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP1455945 TX Primary

Addresses

Primary practice location

1205 N Oregon St
El Paso, TX 79902-4023

Mailing address

11428 Lake Nemi Dr
El Paso, TX 79936-3953
Phone (915) 433-7649

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL aesalcedo1988@gmail.com Direct

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
AP1455945TXMDAcute Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1023630977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11428 LAKE NEMI DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799363953",
            "telephone_number": "915-433-7649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 N OREGON ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024023",
            "telephone_number": "915-533-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALCEDO",
        "first_name": "ANDREA",
        "middle_name": "ELOISA",
        "credential": "ACAGNP-BC RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP1455945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "aesalcedo1988@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Office Practice",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11428 Lake Nemi Dr",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799363953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 May 14, 2020; 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.