Individual provider Active NPI

Ivonne Garcia-Deleon, FNP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1124726617
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1111353 Issued in TX
Practice address
1900 Blalock Rd Ste M
Houston, TX 77080-5446
Phone
(832) 831-4883
NPI assigned
Feb 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1111353 TX Primary

Addresses

Primary practice location

1900 Blalock Rd Ste M
Houston, TX 77080-5446

Mailing address

15306 Palton Springs Dr
Houston, TX 77082-3018
Phone (713) 820-0671

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
1111353TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Panamericana Family Medicine Clinic PLLC CurrentSince Feb 26, 2023 Accepting new patients

Locations

1900 Blalock Rd
Ste M
Houston, TX 77080
Phone (281) 206-7562

Interoperability endpoints

  • Direct secure messaging: ivonne.garcia-deleon.1@17945.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17945/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1124726617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15306 PALTON SPRINGS DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770823018",
            "telephone_number": "713-820-0671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 BLALOCK RD STE M",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770805446",
            "telephone_number": "832-831-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA-DELEON",
        "first_name": "IVONNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1111353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.