Active NPI
Donna Conklin, RNFA
- Medical-Surgical Registered Nurse
- El Paso, TX
National Provider Identifier
1275619132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Registered Nurse
- License
- 567401
- Practice address
- 1771 Tommy Aaron
El Paso, TX 79936 - Phone
- (915) 822-1988
- Fax
- (915) 821-9581
- NPI assigned
- Oct 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 567401 | TX | Primary |
Addresses
Primary practice location
1771 Tommy Aaron
El Paso, TX 79936
Mailing address
1771 Tommy Aaron
El Paso, TX 79936
Phone (915) 822-1988
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50289 | Other | TX | PRESBYTERIAN SALUD PROVID |
| 0004HT | Other | TX | BC/BS PROVIDER NUMBER |
Other names 1
- Mrs. Donna Canavan
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 567401 | TX | MD | Medical-Surgical Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275619132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1771 TOMMY AARON",
"city": "EL PASO",
"state": "TX",
"postal_code": "79936",
"telephone_number": "915-822-1988",
"fax_number": "915-821-9581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1771 TOMMY AARON",
"city": "EL PASO",
"state": "TX",
"postal_code": "79936",
"telephone_number": "915-822-1988",
"fax_number": "915-821-9581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONKLIN",
"first_name": "DONNA",
"name_prefix": "Mrs.",
"credential": "RNFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "TX",
"license": "567401",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN SALUD PROVID",
"identifier": "50289",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS PROVIDER NUMBER",
"identifier": "0004HT",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DONNA",
"last_name": "CANAVAN",
"prefix": "MRS.",
"credential": "RNFA",
"code": "5",
"type": "Other Name"
}
]
}
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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.