Individual provider Active NPI

Marzieh Webb, FNP-C

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1366177263
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1088000 Issued in TX
Practice address
12810 Edgemere Blvd
El Paso, TX 79938-4532
Phone
(915) 504-6955
Fax
(915) 504-6954
NPI assigned
Jul 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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 1088000 TX Primary

Addresses

Primary practice location

12810 Edgemere Blvd
El Paso, TX 79938-4532

Mailing address

6275 Wild Flower Dr
El Paso, TX 79938-8666
Phone (915) 820-1819

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
I20241010003269 TX Practitioner - Nurse Practitioner 3375075757 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1088000TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sun City Sports Medicine and Family Clinic, PA CurrentSince Jun 20, 2024 Accepting new patients
Manuel D Lopez MD PA PastSince Jul 1, 2022 Accepting new patients
Tony Pitre MD PA PastSince Jul 1, 2022 Accepting new patients

Locations

12810 Edgemere Blvd
El Paso, TX 79938
Phone (915) 504-6955

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10488/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1658620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1366177263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6275 WILD FLOWER DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799388666",
            "telephone_number": "915-820-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12810 EDGEMERE BLVD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799384532",
            "telephone_number": "915-504-6955",
            "fax_number": "915-504-6954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "MARZIEH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-24",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1088000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.