Individual provider Active NPI

Monique I. Serrano, PNP

  • Pediatric Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1174811087
Registry record updated Jul 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
721276 Issued in TX
Practice address
1733 Curie Dr
Suite 103
El Paso, TX 79902-2910
Phone
(915) 532-2985
Fax
(915) 577-9315
NPI assigned
Jul 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 721276 TX Primary

Addresses

Primary practice location

1733 Curie Dr
Suite 103
El Paso, TX 79902-2910

Mailing address

1733 Curie Dr
Suite 103
El Paso, TX 79902-2910
Phone (915) 532-2985

Other identifiers 1

IdentifierTypeStateIssuer
011356OtherTXTEXAS BOARD OF NURSING PRESCRIPTION ID NO.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: monique.serrano@direct.myhealthep.org

NPI Registry JSON

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310428800000",
    "number": "1174811087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1733 CURIE DR",
            "address_2": "SUITE 103",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022910",
            "telephone_number": "915-532-2985",
            "fax_number": "915-577-9315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1733 CURIE DR",
            "address_2": "SUITE 103",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022910",
            "telephone_number": "915-532-2985",
            "fax_number": "915-577-9315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "MONIQUE",
        "middle_name": "I.",
        "name_prefix": "Mrs.",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2011-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "721276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING PRESCRIPTION ID NO.",
            "identifier": "011356",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.