Taron Taray Peebles, ACNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

751885 Issued in TX

Practice address

4305 N Mesa St
Suite a
El Paso, TX 79902-1123

Phone

(915) 532-2477

Fax

(915) 532-2470

NPI assigned

Mar 5, 2012

Last updated

Mar 18, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hospitalist Medicine Physicians of Texas - Houston, PLLC

  • Emergency Medicine Physician
  • Plainview, TX
  • NPI 1760028740

  Nurse Practitioner

  Medicare reassignment NPD
• El Paso Advance Practice Provider, PLLC

  • Acute Care Nurse Practitioner
  • El Paso, TX
  • NPI 1285133512
  Authorized official Same address or phone
• Mosaic Infusion Solutions LLC

  • Infusion Therapy Clinic/Center
  • San Antonio, TX
  • NPI 1831794171
  NPD
• Mosaic Infusion Solutions LLC

  • Infusion Therapy Clinic/Center
  • Anchorage, AK
  • NPI 1255067591
  NPD
• El Paso Pulmonary Association

  • Critical Care Medicine (Internal Medicine) Physician
  • Las Cruces, NM
  • NPI 1871082107
  NPD (past)
• Medical Office Force

  • Internal Medicine Physician
  • Athens, GA
  • NPI 1508378613
  NPD (past)
• Mosaic Infusion Solutions LLC

  • Infusion Therapy Clinic/Center
  • Centennial, CO
  • NPI 1467016907
  NPD (past)

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1437423696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 GEORGE DIETER DR STE 636",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365600",
            "telephone_number": "915-671-1371",
            "fax_number": "915-219-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 N MESA ST",
            "address_2": "SUITE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021123",
            "telephone_number": "915-532-2477",
            "fax_number": "915-532-2470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6011 Randolph Blvd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782335719",
            "country_code": "US",
            "telephone_number": "210-729-5371",
            "fax_number": "833-914-0579",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1810 Murchison Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799022906",
            "country_code": "US",
            "telephone_number": "915-613-5580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEEBLES",
        "first_name": "TARON",
        "middle_name": "TARAY",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-05",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP121725",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "751885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "751885",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301437501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amparo Pedroza, FNP-BC
• Claudia Angelica Pedroza, REGISTERED NURSE
• Margarita Pedroza, CPNP-AC
• Rene Pedroza, AU.D.
• Adam Peebles
• Elizabeth McDonald Peevey, OT
• Sara Lynne Peidle, R.D.N.
• Abraham Peinado
• Alfonso Peinado, PT
• Scott Irwin Pelking, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.
• 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.