Sandra Maria Viscon, DNP, APRN, FNP-BC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

AP123859 Issued in TX

Practice address

3051 N Zaragoza Rd
El Paso, TX 79938-7921

Phone

(915) 401-8019

Fax

(915) 401-8096

NPI assigned

Jun 12, 2013

Sex

Female

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 1

Other names 1

• Sandra Gaytan Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sandra.viscon.1@32563.direct.athenahealth.com

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.

• Bluff Creek Emergency Medicine Associates, PA

  • Emergency Medicine Physician
  • El Paso, TX
  • NPI 1679071690
  Medicare reassignment NPD
• Chauburg PLLC

  dba UCare

  • Urgent Care Clinic/Center
  • El Paso, TX
  • NPI 1053780536
  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Texas - Houston, PLLC

  • Emergency Medicine Physician
  • Plainview, TX
  • NPI 1760028740
  Medicare reassignment NPD
• Pearsall Emergency Medicine Associates, PA

  • Emergency Medicine Physician
  • Horizon City, TX
  • NPI 1104326263
  Medicare reassignment NPD
• HCN Ep Horizon City, LLC

  dba The Hospitals of Providence Northeast Campus

  • General Acute Care Hospital
  • El Paso, TX
  • NPI 1861994808
  NPD (past)
• St. David's Carenow Urgent Care PLLC

  • Family Medicine Physician
  • Austin, TX
  • NPI 1851844104
  NPD (past)
• Tenet Hospitals Limited

  dba The Hospitals of Providence Transmountain Campus

  • General Acute Care Hospital
  • El Paso, TX
  • NPI 1538522412
  NPD (past)

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1447698329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3051 N ZARAGOZA RD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799387921",
            "telephone_number": "915-401-8019",
            "fax_number": "915-577-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 N ZARAGOZA RD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799387921",
            "telephone_number": "915-401-8019",
            "fax_number": "915-401-8096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISCON",
        "first_name": "SANDRA",
        "middle_name": "MARIA",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-12",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "640371",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "AP123859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX BOARD OF NURSES",
            "identifier": "640371",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "GAYTAN",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Family Medicine Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.