Individual provider Active NPI

Jose H Soto III, NNP-BC

  • Neonatal Nurse Practitioner
  • Laredo, TX
National Provider Identifier
1467258756
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
104538582 Issued in TX
Practice address
6022 Amir Dr
Laredo, TX 78041-7714
Phone
(956) 220-3374
NPI assigned
Feb 19, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X 104538582 TX Primary

Addresses

Primary practice location

6022 Amir Dr
Laredo, TX 78041-7714

Mailing address

6022 Amir Dr
Laredo, TX 78041-7714
Phone (956) 220-3374

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
I20250703000718 TX Practitioner - Nurse Practitioner 8224541057 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
104538582TXMDNeonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Physician Services of South Texas CurrentSince May 1, 2025 Accepting new patients
Children'S Physician Services of South Texas CurrentSince May 1, 2025 Accepting new patients

Locations

3533 S Alameda St
Corpus Christi, TX 78411
Phone (361) 694-5445

4525 Ayers St
Corpus Christi, TX 78415
Phone (877) 324-7543

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1467258756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6022 AMIR DR",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780417714",
            "telephone_number": "956-220-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6022 AMIR DR",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780417714",
            "telephone_number": "956-220-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO",
        "first_name": "JOSE",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "NNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "TX",
            "license": "104538582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.