Individual provider Active NPI

Sandra Luz Velasco, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1043772361
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP140991 Issued in TX
Practice address
1810 Murchison Dr Ste 50
El Paso, TX 79902-2927
Phone
(915) 857-4130
Fax
(915) 857-4135
NPI assigned
Apr 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP140991 TX
Family Nurse Practitioner 363LF0000X AP140991 TX Primary

Addresses

Primary practice location

1810 Murchison Dr Ste 50
El Paso, TX 79902-2927

Mailing address

1810 Murchison Dr Ste 50
El Paso, TX 79902-2927
Phone (915) 857-4130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20200304000111 TX Practitioner - Nurse Practitioner 0941637995 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP140991TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Feb 25, 2020 Accepting new patients
BHS Physicians Network, Inc CurrentSince Feb 25, 2020 Accepting new patients
Border Pain Institute, PA CurrentSince Jun 18, 2021 Accepting new patients
Fahad Omar MD PA CurrentSince Jun 1, 2020 Accepting new patients
Freedom Medicine, P.a. PastSince Jun 21, 2022 Accepting new patients

Locations

1250 E Cliff Dr
Ste 3D
El Paso, TX 79902
Phone (915) 577-9100

1000 N Mesa St
El Paso, TX 79902
Phone (915) 851-4130

1512 N Zaragoza Rd
Ste B
El Paso, TX 79936
Phone (915) 249-3900

1810 Murchison Dr
Ste 50
El Paso, TX 79902
Phone (915) 598-8602

1575 N Resler Dr
Ste D
El Paso, TX 79912
Phone (915) 271-4569

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

Interoperability endpoints

  • Direct secure messaging: sandravelasco@lpsllp.allscriptsdirect.net
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10714851
  • FHIR API: https://fhir4.healow.com/fhir/r4/DDBFBA/Endpoint/DDBFBA

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1043772361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 MURCHISON DR STE 50",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022927",
            "telephone_number": "915-857-4130",
            "fax_number": "915-857-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 MURCHISON DR STE 50",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022927",
            "telephone_number": "915-857-4130",
            "fax_number": "915-857-4135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELASCO",
        "first_name": "SANDRA",
        "middle_name": "LUZ",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-04",
        "last_updated": "2023-04-20",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP140991",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.