Individual provider Active NPI

Ivonne Maria Sahagun-Carreon, M.D.

  • Pediatrics Physician
  • New Braunfels, TX
National Provider Identifier
1346329661
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
L7154 Issued in TX
Practice address
2115 Stephens PL Ste 100
New Braunfels, TX 78130-2151
Phone
(830) 627-9878
Fax
(830) 627-9879
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X L7154 TX Primary

Addresses

Primary practice location

2115 Stephens PL Ste 100
New Braunfels, TX 78130-2151

Mailing address

2115 Stephens PL Ste 100
New Braunfels, TX 78130-2151
Phone (830) 627-9878

Other identifiers 1

IdentifierTypeStateIssuer
159856701MedicaidTX

Other names 1

  • Dr. Ivonne Marie Sahagun-Carreon Professional name

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L7154TXMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1346329661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 STEPHENS PL STE 100",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781302151",
            "telephone_number": "830-627-9878",
            "fax_number": "830-627-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 STEPHENS PL STE 100",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781302151",
            "telephone_number": "830-627-9878",
            "fax_number": "830-627-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHAGUN-CARREON",
        "first_name": "IVONNE",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L7154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159856701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IVONNE",
            "last_name": "SAHAGUN-CARREON",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.