Individual provider Active NPI

Hayde Lizette Cervantes Gonzalez, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1265343321
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1082469 Issued in TX
Practice address
6090 Surety Dr Ste 402
El Paso, TX 79905-2060
Phone
(915) 979-7402
Fax
(915) 300-1947
NPI assigned
Sep 16, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 1082469 TX Primary

Addresses

Primary practice location

6090 Surety Dr Ste 402
El Paso, TX 79905-2060

Mailing address

6090 Surety Dr Ste 402
El Paso, TX 79905-2060
Phone (915) 979-7402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1265343321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6090 SURETY DR STE 402",
            "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 402",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052060",
            "telephone_number": "915-979-7402",
            "fax_number": "915-300-1947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERVANTES GONZALEZ",
        "first_name": "HAYDE",
        "middle_name": "LIZETTE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-16",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1082469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.