Individual provider Active NPI

Rosa Alidya Vallejo-Loza, DNP, FNP-BC

  • Family Nurse Practitioner
  • Donna, TX
National Provider Identifier
1316456098
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP135104 Issued in TX
Practice address
307 N D Salinas Ave
Donna, TX 78537-2929
Phone
(956) 464-2402
NPI assigned
Sep 25, 2017
Last updated
Jun 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP135104 TX Primary

Addresses

Primary practice location

307 N D Salinas Ave
Donna, TX 78537-2929

Mailing address

307 N D Salinas Ave
Donna, TX 78537-2929
Phone (956) 464-2402

Other identifiers 2

IdentifierTypeStateIssuer
378335901MedicaidTX
618594YLALOtherTXMEDICARE

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
I20171205001339 TX Practitioner - Nurse Practitioner 6901163658 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Donna Medical Clinic, PLLC CurrentSince Jun 5, 2023 Accepting new patients
HMC RGV Physicians Group CurrentSince Feb 1, 2025 Accepting new patients

Locations

2010 E Business Highway 83
Donna, TX 78537
Phone (956) 461-6666

307 N Salinas Blvd
Donna, TX 78537
Phone (956) 464-2402

2310 N Ed Carey Dr
Ste 1A
Harlingen, TX 78550
Phone (956) 425-0111

5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDCEDD

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": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1316456098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 N D SALINAS AVE",
            "city": "DONNA",
            "state": "TX",
            "postal_code": "785372929",
            "telephone_number": "956-464-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 N D SALINAS AVE",
            "city": "DONNA",
            "state": "TX",
            "postal_code": "785372929",
            "telephone_number": "956-464-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLEJO-LOZA",
        "first_name": "ROSA",
        "middle_name": "ALIDYA",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP135104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378335901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "618594YLAL",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Donna, TX

Sources for this page

Verify at the official NPI Registry.