Her Pantry

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

HER PANTRY

Practice address

4727 Hondo Pass Dr Ste E
El Paso, TX 79904-1471

Phone

(915) 201-0929

NPI assigned

Oct 5, 2023

Organization subpart

No

Name

Connie MorenoNPI 1649148586

Title

Executive Director

Phone

(915) 633-4564

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Connie Moreno

  • Community Health Worker
  • El Paso, TX
  • NPI 1649148586
  NPD Authorized official
• Raquel Flores, RN

  • Case Manager/Care Coordinator
  • El Paso, TX
  • NPI 1043043581
  NPD

Locations

• El Paso Diaper Bank Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 5, 2023.

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1104606235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 HONDO PASS DR STE E",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799041471",
            "telephone_number": "915-201-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4727 HONDO PASS DR STE E",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799041471",
            "telephone_number": "915-201-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HER PANTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "915-633-4564"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "El Paso Diaper Bank",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amanda Rae Henry, LPC-A
• Jacqueline Teresa Henry, SLPA
• Amy Latonia Hensley, L.M.T
• Craig T Hentzel, OD
• Her Health OB/GYN & Fertility Clinic PA
• Robert Herberger
• Herbert J. Nassour, M. D., P.a.
• Yvonne Heredia-Koster, ATC
• Davina Heredia, LPC
• Grecia Heredia, PHARMD, AAHIVP

• All providers in El Paso, TX
• Case Management Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.