Individual provider Active NPI

Esmeralda Cuntapay Ubina, NURSE PRACTITIONER

  • VA Clinic/Center
  • Garland, TX
National Provider Identifier
1336405307
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
Practice address
2705 Crosslands Dr
Garland, TX 75040-3846
Phone
(972) 675-8805
NPI assigned
Apr 4, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
VA Clinic/Center 261QV0200X Primary

Addresses

Primary practice location

2705 Crosslands Dr
Garland, TX 75040-3846

Mailing address

2705 Crosslands Dr
Garland, TX 75040-3846
Phone (972) 675-8805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130620000351 TX Order and Referring Only - Nurse Practitioner 1052550191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333497600000",
    "number": "1336405307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 CROSSLANDS DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750403846",
            "telephone_number": "972-675-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 CROSSLANDS DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750403846",
            "telephone_number": "972-675-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UBINA",
        "first_name": "ESMERALDA",
        "middle_name": "CUNTAPAY",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-04",
        "last_updated": "2012-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.