Individual provider Active NPI

Derrick Iozzio, CPS

  • Peer Specialist
  • El Paso, TX
National Provider Identifier
1275171183
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Practice address
10717 Quartz St
El Paso, TX 79924-1644
Phone
(915) 260-9185
NPI assigned
Dec 11, 2019
Last updated
Dec 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X Primary

Addresses

Primary practice location

10717 Quartz St
El Paso, TX 79924-1644

Mailing address

10717 Quartz St
El Paso, TX 79924-1644
Phone (915) 260-9185

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.catch22peersupportllc.org/?fbclid=IwAR0AY3wz7ffC2a35S78BwNaqn5D7AXh69_2IGuDnXJI71Humk4Gj Health Information Exchange (HIE)

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1275171183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10717 QUARTZ ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799241644",
            "telephone_number": "915-260-9185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10717 QUARTZ ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799241644",
            "telephone_number": "915-260-9185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IOZZIO",
        "first_name": "DERRICK",
        "name_prefix": "Mr.",
        "credential": "CPS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-11",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.catch22peersupportllc.org/?fbclid=IwAR0AY3wz7ffC2a35S78BwNaqn5D7AXh69_2IGuDnXJI71Humk4Gj",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "El Paso",
            "address_1": "10717 Quartz St",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799241644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.