Individual provider Active NPI

Diane Quintana, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1104430982
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1117634 Issued in TX
Practice address
8825 N Loop Dr Ste 103
El Paso, TX 79907-4607
Phone
(915) 201-0199
Fax
(915) 233-3053
NPI assigned
Aug 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1117634 TX Primary

Addresses

Primary practice location

8825 N Loop Dr Ste 103
El Paso, TX 79907-4607

Mailing address

1605 George Dieter Dr Ste 636
El Paso, TX 79936-5692
Phone (915) 671-1371

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
I20230601002057 TX Practitioner - Nurse Practitioner 2365809613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
La Mente Behavioral Health LLCGroup PAC ID 7911325287, 14 clinicians

Practice addresses (Care Compare)

1030 N Zaragoza Rd
Suite Y
El Paso, TX 79907-1862
Phone (915) 201-0199

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
La Mente Behavioral Health LLC Psychiatric/Mental Health CurrentSince May 1, 2023 Accepting new patients
Louis M Alpern, M.D., M.P.H., P.a. PastSince May 1, 2023 Accepting new patients

Locations

6600 Montana Ave
Ste P
El Paso, TX 79925
Phone (915) 201-0199

8825 N Loop Dr
Ste 103
El Paso, TX 79907
Phone (915) 201-0199

811 Chelsea St
#B
El Paso, TX 79903
Phone (915) 201-0199

1605 George Dieter Dr
Ste 636
El Paso, TX 79936
Phone (915) 274-1617

1030 N Zaragoza Rd
Ste Y
El Paso, TX 79907
Phone (915) 201-0199

Organizations & group practices 2

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": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1104430982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 GEORGE DIETER DR STE 636",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365692",
            "telephone_number": "915-671-1371",
            "fax_number": "915-219-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8825 N LOOP DR STE 103",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799074607",
            "telephone_number": "915-201-0199",
            "fax_number": "915-233-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTANA",
        "first_name": "DIANE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-31",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1117634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.