Active NPI
Arlette Ysabelle Camacho, MSN, APRN, FNP-BC
- Nurse Practitioner
- Minnetonka, MN
National Provider Identifier
1104198795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2011016394
- Practice address
- 9900 Bren Rd E
Minnetonka, MN 55343-9664 - Phone
- (915) 539-7920
- NPI assigned
- Jan 30, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2011016394 | TX | Primary |
Addresses
Primary practice location
9900 Bren Rd E
Minnetonka, MN 55343-9664
Mailing address
1279 Indiana St
El Paso, TX 79930-1134
Phone (915) 799-5805
Other practice location 1
7420 Remcon Cir Ste A
El Paso, TX 79912-3537
Phone (915) 532-8823 ext. 213
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)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600992000000",
"number": "1104198795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1279 INDIANA ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799301134",
"telephone_number": "915-799-5805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9900 BREN RD E",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553439664",
"telephone_number": "915-539-7920"
}
],
"practiceLocations": [
{
"address_1": "7420 Remcon Cir Ste A",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799123537",
"country_code": "US",
"telephone_number": "915-532-8823 x213",
"fax_number": "915-225-2208",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMACHO",
"first_name": "ARLETTE",
"middle_name": "YSABELLE",
"credential": "MSN, APRN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-30",
"last_updated": "2020-09-25",
"certification_date": "2020-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "2011016394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.