Active NPI
Talisha Jenelle Dennis, AGACNP-BC
- Gerontology Nurse Practitioner
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 1112578
- Practice address
- 4815 Alameda Ave
El Paso, TX 79905-2705 - Phone
- (915) 215-5900
- NPI assigned
- Mar 23, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1112578 | TX | |
| Gerontology Nurse Practitioner | 363LG0600X | 1112578 | TX | Primary |
Addresses
Primary practice location
4815 Alameda Ave
El Paso, TX 79905-2705
Mailing address
440 Raynolds St # 51015
El Paso, TX 79905-1613
Phone (915) 215-4480
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1112578 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Tech University Health Sciences Center El Paso | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Texas Tech University Health Sciences Center El Paso | Current | Accepting new patients | |
| Vpa of Texas PLLC | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center El Paso | Current | Accepting new patients | |
| El Paso Pulmonary Association | Current | Accepting new patients | |
| Vpa of Texas PLLC | Current | Accepting new patients | |
| Vpa of Texas PLLC | Current | Accepting new patients | |
| El Paso Pulmonary Association | Past | Accepting new patients |
Locations
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
1865 N Lee Trevino Dr
Ste A
El Paso, TX 79936
4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200
4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000
1865 N Lee Trevino Dr
El Paso, TX 79936
Phone (915) 590-1994
4305 N Mesa St
Ste A
El Paso, TX 79902
Phone (915) 532-2477
4800 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5666
4305 N Mesa St
El Paso, TX 79902
Phone (915) 532-2477
5414 Fredericksburg Rd
Ste 100A
San Antonio, TX 78229
Phone (210) 468-0800
Organizations & group practices 9
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.
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
Nurse Practitioner
-
- Internal Medicine Physician
- El Paso, TX
- NPI 1598705055
-
- Family Medicine Physician
- Irving, TX
- NPI 1679510499
-
- Specialist
- El Paso, TX
- NPI 1568464550
-
- Neurological Surgery Physician
- El Paso, TX
- NPI 1457913444
-
- Neurology Physician
- El Paso, TX
- NPI 1548389554
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1174561575
-
- Clinical Social Worker
- San Antonio, TX
- NPI 1578175865
-
- Critical Care Medicine (Internal Medicine) Physician
- Las Cruces, NM
- NPI 1871082107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684108800000",
"number": "1124721659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 RAYNOLDS ST # 51015",
"city": "EL PASO",
"state": "TX",
"postal_code": "799051613",
"telephone_number": "915-215-4480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4815 ALAMEDA AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799052705",
"telephone_number": "915-215-5900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNIS",
"first_name": "TALISHA",
"middle_name": "JENELLE",
"credential": "AGACNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-23",
"last_updated": "2023-05-15",
"certification_date": "2023-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1112578",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "1112578",
"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 May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.