Shelia Pruitt-Orr

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AP104901 Issued in TX

Practice address

1304 S 25TH Ave
Edinburg, TX 78542-7205

Phone

(956) 686-5692

Fax

(956) 383-8864

NPI assigned

Jan 13, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475539200000",
    "number": "1386974426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 S 25TH AVE",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785427205",
            "telephone_number": "956-686-5692",
            "fax_number": "956-383-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 S 25TH AVE",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785427205",
            "telephone_number": "956-686-5692",
            "fax_number": "956-383-8864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUITT-ORR",
        "first_name": "SHELIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-13",
        "last_updated": "2016-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "522420",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP104901",
            "primary": true
        },
        {
            "code": "364SP1700X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Perinatal",
            "state": "TX",
            "license": "AP104901",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "AP104901",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Health Nurse Practitioner in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Adult Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.