Active NPI
Genesis Your First Step PLLC
- Psychiatric/Mental Health Nurse Practitioner
- El Paso, TX
National Provider Identifier
1386280873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- GENESIS YOUR FIRST STEP PLLC
- Practice address
- 11160 Montwood Dr
El Paso, TX 79936-4240 - Phone
- (915) 437-7207
- Fax
- (915) 351-6601
- NPI assigned
- Nov 20, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Irene Louisa Dunn, PMHNP-BC
- Title
- President
- Phone
- (915) 351-6600
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
11160 Montwood Dr
El Paso, TX 79936-4240
Mailing address
4849 N Mesa St Ste 201
El Paso, TX 79912-5919
Phone (915) 351-6600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
11160 Montwood Dr
El Paso, TX 79936
Phone (915) 241-8789
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- El Paso, TX
- NPI 1861874729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1590537600000",
"number": "1386280873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4849 N MESA ST STE 201",
"city": "EL PASO",
"state": "TX",
"postal_code": "799125919",
"telephone_number": "915-351-6600",
"fax_number": "915-351-6601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11160 MONTWOOD DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799364240",
"telephone_number": "915-437-7207",
"fax_number": "915-351-6601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS YOUR FIRST STEP PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-20",
"last_updated": "2020-05-27",
"certification_date": "2020-05-27",
"status": "A",
"authorized_official_last_name": "DUNN",
"authorized_official_first_name": "IRENE",
"authorized_official_middle_name": "LOUISA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "915-351-6600",
"authorized_official_credential": "PMHNP-BC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"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 May 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.