Active NPI
Esmeralda Perez
- Pediatric Nurse Practitioner
- El Paso, TX
National Provider Identifier
1104648799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 1178963
- Practice address
- 6301 Northern Pass Dr
El Paso, TX 79911-7213 - Phone
- (915) 301-0302
- NPI assigned
- Oct 25, 2024
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 1178963 | TX | Primary |
Addresses
Primary practice location
6301 Northern Pass Dr
El Paso, TX 79911-7213
Mailing address
13633 Linton St
El Paso, TX 79928-2222
Phone (915) 202-3339
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1178963 | TX | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731369600000",
"number": "1104648799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13633 LINTON ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799282222",
"telephone_number": "915-202-3339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6301 NORTHERN PASS DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799117213",
"telephone_number": "915-301-0302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "ESMERALDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-25",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "1178963",
"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 Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.