Ep Modern Medicine PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

EP MODERN MEDICINE PLLC

Doing business as

EP Preventive Care

Practice address

154 N Festival Dr Ste a
El Paso, TX 79912-6265

Phone

(915) 328-6233

Fax

(915) 779-9797

NPI assigned

Nov 29, 2023

Organization subpart

No

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

Authorized official

Name

Maribel MagallanesNPI 1912574781

Title

President

Phone

(915) 228-3080

Specialties & licenses 1

Addresses

Other names 1

• EP Preventive Care Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maribel Magallanes, FNP

  • Family Nurse Practitioner
  • El Paso, TX
  • NPI 1912574781
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1417723693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 N FESTIVAL DR STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126265",
            "telephone_number": "915-328-6233",
            "fax_number": "915-779-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 N FESTIVAL DR STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126265",
            "telephone_number": "915-328-6233",
            "fax_number": "915-779-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EP MODERN MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-29",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "MAGALLANES",
        "authorized_official_first_name": "MARIBEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-228-3080"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EP Preventive Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ep Family Home Care Solutions Inc
• Ep Foot Care, PA
• Ep Health and Wellness, PLLC
• Ep Max
• Ep Medical Imaging Technology, LP
• Ep Noble Care LLC
• Ep Noble Care LLC
• Ep Noble Care LLC
• Ep Optimum Health Center, P.a.
• Ep Practice Technologies

• 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 May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.