NPIMap

Individual provider Active NPI

Jhoana Patricia Quezada

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1386287332
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP143647 Issued in TX
Practice address
1201 E Schuster Ave Ste 1a
El Paso, TX 79902-4646
Phone
(915) 229-6448
NPI assigned
Oct 22, 2019
Last updated
Oct 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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 AP143647 TX Primary

Addresses

Primary practice location

1201 E Schuster Ave Ste 1a
El Paso, TX 79902-4646

Mailing address

1201 E Schuster Ave Ste 1a
El Paso, TX 79902-4646
Phone (915) 229-6448

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
I20200106002573 TX Practitioner - Nurse Practitioner 5294169983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunset Id Care P aGroup PAC ID 2062736887, 5 clinicians

Practice addresses (Care Compare)

1201 E Schuster Ave
BLDG 7
El Paso, TX 79902-4660
Phone (915) 229-6448

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP143647TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunset Id Care P a CurrentSince Jan 3, 2020 Accepting new patients

Locations

1201 E Schuster Ave
Bldg 7
El Paso, TX 79902
Phone (915) 229-6448

1201 E Schuster Ave
Ste 1A
El Paso, TX 79902
Phone (915) 229-6448

Interoperability endpoints

  • Direct secure messaging: jhoana.quezada.1@10462.direct.athenahealth.com

Organizations & group practices 1

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 8

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": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1386287332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 E SCHUSTER AVE STE 1A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024646",
            "telephone_number": "915-229-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E SCHUSTER AVE STE 1A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024646",
            "telephone_number": "915-229-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEZADA",
        "first_name": "JHOANA",
        "middle_name": "PATRICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.