Individual provider Active NPI

Camille Aguilera-Gardner

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1427615210
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP141368 Issued in TX
Practice address
1030 N Zaragoza Rd Ste X
El Paso, TX 79907-1862
Phone
(915) 881-4155
NPI assigned
May 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X AP141368 TX Primary

Addresses

Primary practice location

1030 N Zaragoza Rd Ste X
El Paso, TX 79907-1862

Mailing address

12350 Paseo Nuevo Dr
El Paso, TX 79928-5668
Phone (915) 225-4470

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200610000013 TX Practitioner - Nurse Practitioner 5294156782 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carol N. Abalihi, MD, PA Single Specialty CurrentSince Oct 27, 2020 Accepting new patients
Paseo Nuevo Urgent Care PLLC Single Specialty CurrentSince May 11, 2021 Accepting new patients
Alejandro Rocha Jr. D.O., P.a. Single Specialty CurrentSince Jan 1, 2024 Accepting new patients
Diagnostic Pro Imaging Past Accepting new patients

Locations

4445 N Mesa St
Ste 122
El Paso, TX 79902

10500 Vista del Sol Dr
Ste C
El Paso, TX 79925
Phone (915) 256-3842

1625 Medical Center Dr
El Paso, TX 79902
Phone (915) 577-7746

12350 Paseo Nuevo Dr
El Paso, TX 79928
Phone (915) 225-4470

5746 Trowbridge Dr
El Paso, TX 79925

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17126/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1427615210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12350 PASEO NUEVO DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799285668",
            "telephone_number": "915-225-4470",
            "fax_number": "915-533-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 N ZARAGOZA RD STE X",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799071862",
            "telephone_number": "915-881-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILERA-GARDNER",
        "first_name": "CAMILLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-28",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP141368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.