Individual provider Active NPI

Aaron Padron

  • Psychiatric/Mental Health Nurse Practitioner
  • Livingston, TX
National Provider Identifier
1104452416
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61115995 Issued in WA
Practice address
101 Rainbow Dr # 10486
Livingston, TX 77399-2004
Phone
(908) 208-8600
NPI assigned
Mar 18, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 404389 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11024163 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95014324 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AC004069 MD
Family Nurse Practitioner 363LF0000X AP145519 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61115995 WA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95014324 CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 086453-23 NH

Addresses

Primary practice location

101 Rainbow Dr # 10486
Livingston, TX 77399-2004

Mailing address

101 Rainbow Dr # 10486
Livingston, TX 77399-2004
Phone (206) 620-1222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX, CA, MD, CO5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20210304002555 WA Practitioner - Nurse Practitioner 3577979137 Reassigns benefits to 1 organization
I20211208000905 TX Practitioner - Nurse Practitioner 3577979137 Reassigns benefits to 1 organization
I20240816003640 CA Practitioner - Nurse Practitioner 3577979137 Reassigns benefits to 1 organization
I20260105000001 MD Practitioner - Nurse Practitioner 3577979137 Practice locations: Owings Mills, MD
I20260207000004 CO Practitioner - Nurse Practitioner 3577979137 Practice locations: Littleton, CO

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 Rainbow Dr
Suite 10486
Livingston, TX 77399-9330

9722 Groffs Mill Dr
Owings Mills, MD 21117-6341
Phone (206) 317-4232

9878 W Belleview Ave
Suite 2314
Littleton, CO 80123-2101
Phone (206) 408-2860

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95014324COMDPsychiatric/Mental Health Nurse Practitioner
APRN11024163FLMDPsychiatric/Mental Health Nurse Practitioner
AC004069MDMDPsychiatric/Mental Health Nurse Practitioner
086453-23NHMDPsychiatric/Mental Health Nurse Practitioner
404389NYMDPsychiatric/Mental Health Nurse Practitioner

Organizations & group practices 1

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": "1584489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1104452416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RAINBOW DR # 10486",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773992004",
            "telephone_number": "206-620-1222",
            "fax_number": "559-236-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 RAINBOW DR # 10486",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773992004",
            "telephone_number": "908-208-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADRON",
        "first_name": "AARON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-18",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "404389",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11024163",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95014324",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "AC004069",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP145519",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61115995",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "95014324",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "086453-23",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, TX

Sources for this page

Verify at the official NPI Registry.