Individual provider Active NPI

Gerardo Acosta Morales Jr., LVN

  • Licensed Vocational Nurse
  • El Paso, TX
National Provider Identifier
1053905992
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
1027124 Issued in TX
Practice address
9553 Rutledge PL
El Paso, TX 79924-6211
Phone
(970) 551-0596
NPI assigned
Feb 22, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 1027124 TX Primary

Addresses

Primary practice location

9553 Rutledge PL
El Paso, TX 79924-6211

Mailing address

9553 Rutledge PL
El Paso, TX 79924-6211
Phone (970) 551-0596

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

State licenses

LicenseStateTypeSpecialty
1027124TXMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1053905992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9553 RUTLEDGE PL",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799246211",
            "telephone_number": "970-551-0596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9553 RUTLEDGE PL",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799246211",
            "telephone_number": "970-551-0596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA MORALES",
        "first_name": "GERARDO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "1027124",
            "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 Feb 22, 2021; 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.