Individual provider Active NPI

Marco Antonio Zuniga

  • Pediatric Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1447655774
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP126782 Issued in TX
Practice address
2270 Joe Battle Blvd Ste E-G
El Paso, TX 79938-2609
Phone
(915) 642-9444
Fax
(915) 800-8570
NPI assigned
Oct 29, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN126782 TX
Nurse Practitioner 363L00000X 806114 TX
Pediatric Nurse Practitioner 363LP0200X AP126782 TX Primary

Addresses

Primary practice location

2270 Joe Battle Blvd Ste E-G
El Paso, TX 79938-2609

Mailing address

1201 E Schuster Ave BLDG 4
El Paso, TX 79902-4672
Phone (915) 642-9444

Other practice location 1

2325 Pershing Dr
El Paso, TX 79903-3608
Phone (945) 590-5600

Other practice location 2

1201 E Schuster Ave Bldg 4
El Paso, TX 79902-4672
Phone (915) 642-9444

Other practice location 3

4801 Alberta Ave.
El Paso, TX - Texas 79905
UM
Phone (915) 215-5700

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
I20170227002374 TX Practitioner - Nurse Practitioner 8628352234 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
806114TXMDNurse Practitioner
APN126782TXMDNurse Practitioner
AP126782TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center El Paso CurrentSince Jan 7, 2017 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Jan 7, 2017 Accepting new patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
Pediatric Gi of El Paso, PLLC Pediatrics Past Accepting new patients

Locations

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

4800 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5666

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IEHDCD
  • Direct secure messaging: marco.zuniga@direct.myhealthep.org

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": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1447655774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 E SCHUSTER AVE BLDG 4",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024672",
            "telephone_number": "915-642-9444",
            "fax_number": "915-800-8570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 JOE BATTLE BLVD STE E-G",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799382609",
            "telephone_number": "915-642-9444",
            "fax_number": "915-800-8570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2325 Pershing Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799033608",
            "country_code": "US",
            "telephone_number": "945-590-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 E Schuster Ave Bldg 4",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799024672",
            "country_code": "US",
            "telephone_number": "915-642-9444",
            "fax_number": "915-800-8570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4801 Alberta Ave.",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX - Texas",
            "postal_code": "79905",
            "country_code": "UM",
            "telephone_number": "915-215-5700",
            "fax_number": "915-545-0935",
            "country_name": "United States Minor Outlying Islands",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "last_name": "ZUNIGA",
        "first_name": "MARCO",
        "middle_name": "ANTONIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-29",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "APN126782",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "806114",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP126782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.