NPIMap

Individual provider Active NPI

Karla Alexandra Cervantes

  • Nurse Practitioner
  • Lubbock, TX
National Provider Identifier
1386206977
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP139529 Issued in TX
Practice address
4505 82ND St Ste 5
Lubbock, TX 79424-3219
Phone
(806) 696-4440
Fax
(806) 696-4441
NPI assigned
Jul 3, 2019
Last updated
Mar 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP139529 TX Primary
Community Health Nurse Practitioner 363LC1500X 5011959 NC

Addresses

Primary practice location

4505 82ND St Ste 5
Lubbock, TX 79424-3219

Mailing address

4505 82ND St Ste 5
Lubbock, TX 79424-3219
Phone (806) 696-4440

Other practice location 1

301 40th St
Lubbock, TX 79404-2746
Phone (806) 743-9355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201002001101 TX Practitioner - Nurse Practitioner 6103245618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Texas Tech University Health Science Center School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lubbock Gastroenterology and Liver Associates PLLCGroup PAC ID 0941630966, 11 clinicians

Practice addresses (Care Compare)

4505 82ND St
Suite 5
Lubbock, TX 79424-3219
Phone (806) 696-4440

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
75.55
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP139529TXMDNurse Practitioner
5011959NCMDCommunity Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lubbock Gastroenterology & Liver Associates PLLC CurrentSince Mar 5, 2024 Accepting new patients
Texas Tech University Health Sciences Center Lubbock PastSince Mar 5, 2024 Accepting new patients

Locations

4505 82nd St
Ste 5
Lubbock, TX 79424
Phone (806) 696-4440

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1386206977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 82ND ST STE 5",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794243219",
            "telephone_number": "806-696-4440",
            "fax_number": "806-696-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 82ND ST STE 5",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794243219",
            "telephone_number": "806-696-4440",
            "fax_number": "806-696-4441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 40th St",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794042746",
            "country_code": "US",
            "telephone_number": "806-743-9355",
            "fax_number": "806-743-9363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CERVANTES",
        "first_name": "KARLA",
        "middle_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP139529",
            "primary": true
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "NC",
            "license": "5011959",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.