Individual provider Active NPI

Vikki Larae Presas, WHNP

  • Ambulatory Women's Health Care Registered Nurse
  • Brownsville, TX
National Provider Identifier
1215063227
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Women's Health Care Registered NurseTaxonomy code 163WW0101X
License
163WW0101X Issued in TX
Practice address
4970 North Expressway 77
Suite B
Brownsville, TX 78526
Phone
(956) 350-8788
Fax
(956) 350-0009
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Women's Health Care Registered Nurse 163WW0101X 163WW0101X TX Primary

Addresses

Primary practice location

4970 North Expressway 77
Suite B
Brownsville, TX 78526

Mailing address

95 E Price Rd
BLDG a
Brownsville, TX 78521-3531
Phone (956) 350-8788

Other names 1

  • Vikki Larae Presas Professional name

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
I20140428000525 TX Practitioner - Nurse Practitioner 1557594520 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
163WW0101XTXMDAmbulatory Women's Health Care Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Dagoberto Martinez, Mdpa CurrentSince Mar 19, 2014 Accepting new patients

Locations

3855 Southmost Rd
Brownsville, TX 78521
Phone (956) 465-1193

95 E Price Rd
Bldg A
Brownsville, TX 78521
Phone (956) 504-6080

Organizations & group practices 1

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1215063227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 E PRICE RD",
            "address_2": "BLDG A",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785213531",
            "telephone_number": "956-350-8788",
            "fax_number": "956-350-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4970 NORTH EXPRESSWAY 77",
            "address_2": "SUITE B",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "78526",
            "telephone_number": "956-350-8788",
            "fax_number": "956-350-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESAS",
        "first_name": "VIKKI",
        "middle_name": "LARAE",
        "name_prefix": "Mrs.",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "TX",
            "license": "163WW0101X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIKKI",
            "last_name": "PRESAS",
            "middle_name": "LARAE",
            "credential": "RNC, WHNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brownsville, TX

Sources for this page

Verify at the official NPI Registry.