Individual provider Active NPI

Diana Ivette Valverde Cano

  • Pediatric Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1316723984
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1134089 Issued in TX
Practice address
4321 N Mesa St Ste B
El Paso, TX 79902-1141
Phone
(915) 996-9700
NPI assigned
Sep 7, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 1134089 TX Primary

Addresses

Primary practice location

4321 N Mesa St Ste B
El Paso, TX 79902-1141

Mailing address

103 Sueno CT
Sunland Park, NM 88063-9263
Phone (915) 329-9272

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

State licenses

LicenseStateTypeSpecialty
1134089TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pininos Urgent Care Services CurrentSince Sep 10, 2023 Accepting new patients
Pininos Pediatric Services CurrentSince Sep 10, 2023 Accepting new patients

Locations

4321 N Mesa St
Ste B
El Paso, TX 79902
Phone (915) 966-9700

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1316723984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SUENO CT",
            "city": "SUNLAND PARK",
            "state": "NM",
            "postal_code": "880639263",
            "telephone_number": "915-329-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 N MESA ST STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021141",
            "telephone_number": "915-996-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALVERDE CANO",
        "first_name": "DIANA",
        "middle_name": "IVETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1134089",
            "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 7, 2023; 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.