Jose Valdivia Jr., FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP133299 Issued in TX

Practice address

1580 Appaloosa Suite C310
Sunland Park, NM 88063-9200

Phone

(575) 332-9086

Fax

(575) 332-9132

NPI assigned

Feb 13, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, NM2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: josevaldivia@syv.allscriptsdirect.net
• FHIR API: https://api.platform.athenahealth.com/23243/brand/1/csg/1/fhir/r4

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.

• Viva Health

  • Family Medicine Physician
  • Sunland Park, NM
  • NPI 1114514924
  Medicare reassignment NPD
• Home-Bound-Med LLC

  • Primary Care Nurse Practitioner
  • El Paso, TX
  • NPI 1255197273
  Medicare reassignment NPD
• Salud Y Vida, P.a.

  • Family Medicine Physician
  • El Paso, TX
  • NPI 1043287287
  Medicare reassignment
• Diagnostic Pro Imaging

  • Diagnostic Radiology Physician
  • El Paso, TX
  • NPI 1346777190
  NPD (past)

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1194264952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14177 SMOKEY POINT DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799385405",
            "telephone_number": "915-873-0603",
            "fax_number": "575-332-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 APPALOOSA SUITE C310",
            "city": "SUNLAND PARK",
            "state": "NM",
            "postal_code": "880639200",
            "telephone_number": "575-332-9086",
            "fax_number": "575-332-9132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDIVIA",
        "first_name": "JOSE",
        "name_suffix": "Jr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-13",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "63921",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP133299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pollie Toren
• Jacob Matthew Torres
• Rosa M Torres
• Jonathan Caleb Tovar, BSN-RN
• Kevin Florentino Valdez
• Pablo Juvencio Valerio, CNP
• Carlos Valle, PLMSW
• Getzel Vargas
• Vhba of NM LLC (Viva Health Behavioral)
• Vhma of NM LLC (Viva Health Medical)

• Family Nurse Practitioner in Sunland Park, NM
• Providers in Sunland Park, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.