Individual provider Active NPI

Magdalena G Novelo, R.N., C.P.N.P.

  • Pediatric Nurse Practitioner
  • Brownsville, TX
National Provider Identifier
1447369160
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
678939 Issued in TX
Practice address
864 Central Blvd
Suite 2200
Brownsville, TX 78520-7551
Phone
(956) 541-8334
Fax
(956) 541-9738
NPI assigned
Aug 29, 2006
Last updated
Dec 18, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 678939 TX Primary

Addresses

Primary practice location

864 Central Blvd
Suite 2200
Brownsville, TX 78520-7551

Mailing address

864 Central Blvd
Suite 2200
Brownsville, TX 78520-7551
Phone (956) 541-8334

Other identifiers 1

IdentifierTypeStateIssuer
678939OtherTXLIC NO.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Romeo F Montalvo Jr MD PA Past Accepting new patients
North Brownsville Childrens Clinic PLLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1447369160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "864 CENTRAL BLVD",
            "address_2": "SUITE 2200",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785207551",
            "telephone_number": "956-541-8334",
            "fax_number": "956-541-9738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "864 CENTRAL BLVD",
            "address_2": "SUITE 2200",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785207551",
            "telephone_number": "956-541-8334",
            "fax_number": "956-541-9738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVELO",
        "first_name": "MAGDALENA",
        "middle_name": "G",
        "credential": "R.N., C.P.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "678939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC NO.",
            "identifier": "678939",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.