Individual provider Active NPI

Ivonne Espinosa, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1194151217
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP124716 Issued in TX
Practice address
6090 Surety Dr Ste 400
El Paso, TX 79905-2060
Phone
(915) 979-7402
NPI assigned
Sep 20, 2013
Last updated
Jun 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 749317 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 749317 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP124716 TX Primary

Addresses

Primary practice location

6090 Surety Dr Ste 400
El Paso, TX 79905-2060

Mailing address

6090 Surety Dr Ste 400
El Paso, TX 79905-2060
Phone (915) 979-7402

Other identifiers 2

IdentifierTypeStateIssuer
1831267079OtherTXGROUP NPI
130880104OtherTXGROUP TPI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140718000929 TX Practitioner - Nurse Practitioner 0345466868 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6090 Surety Dr
Suite 400
El Paso, TX 79905-2060
Phone (915) 979-7402

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
749317TXMDFamily Nurse Practitioner
AP124716TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Samsara Community Health Inc. Current Accepting new patients
Samsara Community Health Inc. Family Current Accepting new patients
El Paso County Hospital District CurrentSince Dec 1, 2019 Accepting new patients
Vpa of Texas PLLC CurrentSince Jul 9, 2018 Accepting new patients
El Paso County Hospital District CurrentSince Dec 1, 2019 Accepting new patients
Samsara Healthcare PLLC CurrentSince Jan 7, 2020 Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
Vpa of Texas PLLC CurrentSince Jul 9, 2018 Accepting new patients
Samsara Healthcare PLLC Past Accepting new patients
Samsara Healthcare PLLC Family Past Accepting new patients
Amanecer Psychological Services Past Accepting new patients
Amanecer Psychological Services Past Accepting new patients
Samsara Healthcare PLLC Past Accepting new patients

Locations

4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000

6090 Surety Dr
Ste 400
El Paso, TX 79905
Phone (915) 979-7402

7505 Lockheed Dr
Ste C
El Paso, TX 79925
Phone (915) 979-7402

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1379635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1194151217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6090 SURETY DR STE 400",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052060",
            "telephone_number": "915-979-7402",
            "fax_number": "915-300-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6090 SURETY DR STE 400",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052060",
            "telephone_number": "915-979-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINOSA",
        "first_name": "IVONNE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-20",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "749317",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "749317",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP124716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1831267079",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP TPI",
            "identifier": "130880104",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.