Individual provider Active NPI

Eliana Irigoyen

  • Primary Care Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1235769118
Registry record updated Jan 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP142460 Issued in TX
Practice address
10838 Leopard St
Corpus Christi, TX 78410-2607
Phone
(361) 387-9496
NPI assigned
Jan 20, 2020
Last updated
Jan 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AP142460 TX Primary

Addresses

Primary practice location

10838 Leopard St
Corpus Christi, TX 78410-2607

Mailing address

8265 Merlin PL
Corpus Christi, TX 78414-6040
Phone (361) 442-9705

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
I20200413001283 TX Practitioner - Nurse Practitioner 6204265390 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vijay K Bindingnavele MD PAGroup PAC ID 1254529332, 2 clinicians

Practice addresses (Care Compare)

5642 Esplanade Dr
Corpus Christi, TX 78414-4122
Phone (361) 888-7417

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Roger M Sifuentes MD PA CurrentSince Apr 1, 2020 Accepting new patients
Vijay K Bindingnavele MD PA CurrentSince Jul 12, 2021 Accepting new patients

Locations

10838 Leopard St
Corpus Christi, TX 78410
Phone (361) 387-9496

5642 Esplanade Dr
Corpus Christi, TX 78414
Phone (361) 888-7417

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1579478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1235769118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8265 MERLIN PL",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784146040",
            "telephone_number": "361-442-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10838 LEOPARD ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784102607",
            "telephone_number": "361-387-9496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIGOYEN",
        "first_name": "ELIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-20",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP142460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.