Individual provider Active NPI

Christina Maribel Anzures, LVN

  • Licensed Vocational Nurse
  • El Paso, TX
National Provider Identifier
1114484441
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
347407 Issued in TX
Practice address
4644 Robert Holt Dr
El Paso, TX 79924-6964
Phone
(915) 252-1665
NPI assigned
Feb 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 347407 TX Primary

Addresses

Primary practice location

4644 Robert Holt Dr
El Paso, TX 79924-6964

Mailing address

4644 Robert Holt Dr
El Paso, TX 79924-6964
Phone (915) 252-1665

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

LicenseStateTypeSpecialty
347407TXMDLicensed Vocational Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1114484441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4644 ROBERT HOLT DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799246964",
            "telephone_number": "915-252-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4644 ROBERT HOLT DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799246964",
            "telephone_number": "915-252-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANZURES",
        "first_name": "CHRISTINA",
        "middle_name": "MARIBEL",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "347407",
            "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 Feb 22, 2019; 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.