Individual provider Active NPI

Luis C. Cordova, FNP-C

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1366460842
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
608063 Issued in TX
Practice address
9208 WH Burges Dr
El Paso, TX 79925-5117
Phone
(915) 790-7123
Fax
(915) 591-3883
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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 608063 TX Primary

Addresses

Primary practice location

9208 WH Burges Dr
El Paso, TX 79925-5117

Mailing address

9208 WH Burges Dr
El Paso, TX 79925-5117
Phone (915) 790-7123

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
608063TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso Carenow Urgent Care, PLLC CurrentSince Nov 16, 2023 Accepting new patients
St. David'S Carenow Urgent Care PLLC Past Accepting new patients

Locations

9100 Viscount Blvd
Ste E
El Paso, TX 79925
Phone (915) 594-4475

9100 Viscount Blvd
El Paso, TX 79925
Phone (915) 594-4475

7480 Paseo del Norte
El Paso, TX 79911
Phone (915) 308-2060

1801 N Zaragoza Rd
Ste A
El Paso, TX 79936
Phone (915) 249-3106

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435795200000",
    "number": "1366460842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9208 WH BURGES DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799255117",
            "telephone_number": "915-790-7123",
            "fax_number": "915-591-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9208 WH BURGES DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799255117",
            "telephone_number": "915-790-7123",
            "fax_number": "915-591-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDOVA",
        "first_name": "LUIS",
        "middle_name": "C.",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2015-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "608063",
            "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 Jul 2, 2015; 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.