Organization Active NPI

Mercy Ministries of Laredo

  • Family Nurse Practitioner
  • Laredo, TX
National Provider Identifier
1164586194
Registry record updated Sep 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
500252 Issued in TX
Legal business name
MERCY MINISTRIES OF LAREDO
Practice address
2500 Zacatecas St
Laredo, TX 78046-6814
Phone
(956) 718-6810
Fax
(956) 721-7405
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2017

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

Authorized official

Name
Sister Maria Luisa Vera
Title
President
Phone
(956) 721-7401

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 246295 TX
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 500252 TX Primary
Women's Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LW0102X 532626 TX

Addresses

Primary practice location

2500 Zacatecas St
Laredo, TX 78046-6814

Mailing address

2500 Zacatecas St
Laredo, TX 78046-6814
Phone (956) 718-6810

Other identifiers 1

IdentifierTypeStateIssuer
1782526MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041207000797 TX Part B Supplier - Clinic/Group Practice 4981667516 Receives reassigned benefits from 4 practitioners
Practice locations: Laredo, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506556800000",
    "number": "1164586194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 ZACATECAS ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780466814",
            "telephone_number": "956-718-6810",
            "fax_number": "956-721-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ZACATECAS ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780466814",
            "telephone_number": "956-718-6810",
            "fax_number": "956-721-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MINISTRIES OF LAREDO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2017-09-28",
        "status": "A",
        "authorized_official_last_name": "VERA",
        "authorized_official_first_name": "SISTER MARIA",
        "authorized_official_middle_name": "LUISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-721-7401"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "246295",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "500252",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "532626",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1782526",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.