Kristal Juarez, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP139439 Issued in TX

Practice address

1485 George Dieter Dr
El Paso, TX 79936-7650

Phone

(915) 790-5700

NPI assigned

Nov 1, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kristal J Gallardo Former name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• El Paso County Hospital District

  • General Acute Care Hospital
  • El Paso, TX
  • NPI 1316936990

  Single Specialty

  Medicare reassignment NPD
• Aliviane, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • El Paso, TX
  • NPI 1356557425

  Single Specialty

  NPD
• El Paso County Hospital District

  • General Acute Care Hospital
  • El Paso, TX
  • NPI 1619747938

  Single Specialty

  NPD
• Socorro Medical Clinic LLC

  • Family Medicine Physician
  • Socorro, TX
  • NPI 1922478114

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1396212908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11925 PASEO DEL RIO CT",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799363703",
            "telephone_number": "915-246-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 GEORGE DIETER DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367650",
            "telephone_number": "915-790-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUAREZ",
        "first_name": "KRISTAL",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-01",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTAL",
            "last_name": "GALLARDO",
            "middle_name": "J",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Clemente Alejandro Juarez Jr., RN
• Edward Cruz Juarez, MD
• Eloy Juarez, HIS
• Jacquelyn Nadine Juarez, PHARMD
• Joana L Juarez, RN
• Liliana S Juarez, FNP-C
• Lucian Aztlan Juarez, SLP ASSISTANT
• Olivia Silva Juarez, FNP-C
• Rafael Juarez III, LVN
• Sandra Juarez, LVN

• Family Nurse Practitioner in El Paso, TX
• Providers in El Paso, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.