Individual provider Active NPI

Jazmin Vargas

  • Psychiatric/Mental Health Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1194571679
Registry record updated Jul 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1152698 Issued in TX
Practice address
8500 Boeing Dr
El Paso, TX 79925-1224
Phone
(915) 599-6600
NPI assigned
Apr 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1152698 TX Primary

Addresses

Primary practice location

8500 Boeing Dr
El Paso, TX 79925-1224

Mailing address

8500 Boeing Dr
El Paso, TX 79925-1224
Phone (915) 599-6600

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
I20240913000633 TX Practitioner - Nurse Practitioner 5698215994 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso Community MHMR CurrentSince Jun 9, 2024 Accepting new patients
El Paso Community MHMR CurrentSince Jun 9, 2024 Accepting new patients
El Paso Community MHMR Past Accepting new patients

Locations

2400 Trawood Dr
Ste 301
El Paso, TX 79936
Phone (915) 599-6735

1551 Montana Ave
El Paso, TX 79902
Phone (915) 747-3510

201 E Main Dr
Ste 600
El Paso, TX 79901
Phone (915) 887-3419

1601 E Yandell Dr
El Paso, TX 79902
Phone (915) 599-4900

10737 Gateway Blvd W
Ste 350
El Paso, TX 79935

1477 Lomaland Dr
Ste E7
El Paso, TX 79935
Phone (915) 599-6690

8500 Boeing Dr
El Paso, TX 79925
Phone (915) 242-0555

10737 Gateway Blvd W
Ste 250
El Paso, TX 79935
Phone (915) 319-9488

725 S Mesa Hills Dr
Bldg 1
El Paso, TX 79912
Phone (915) 228-8128

8730 Boeing Dr
El Paso, TX 79925
Phone (915) 599-6600

1600 Montana Ave
El Paso, TX 79902
Phone (915) 877-3410

725 S Mesa Hills Dr
Ste 1
El Paso, TX 79912
Phone (915) 842-0990

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720051200000",
    "number": "1194571679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 BOEING DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799251224",
            "telephone_number": "915-599-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 BOEING DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799251224",
            "telephone_number": "915-599-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS",
        "first_name": "JAZMIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-25",
        "last_updated": "2024-07-04",
        "certification_date": "2024-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1152698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.