Eliandra Cavazos, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP114915 Issued in TX

Practice address

1700 W Dove Ave
McAllen, TX 78504-4463

Phone

(956) 467-5920

NPI assigned

Jun 4, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• South Texas Wellness Center LLC

  • Family Medicine Physician
  • McAllen, TX
  • NPI 1336593128
  NPD (past)

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1497379598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 N CESAR CHAVEZ RD",
            "city": "ALAMO",
            "state": "TX",
            "postal_code": "785166897",
            "telephone_number": "956-207-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W DOVE AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785044463",
            "telephone_number": "956-467-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVAZOS",
        "first_name": "ELIANDRA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-04",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP114915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AP144915",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arely Cavazos
• Carlos Cavazos, OTR
• Chelsy Cavazos, FNP-BC
• David Cavazos
• Deyanira Cavazos
• Guadalupe Javeir Cavazos Jr., D.P.M.
• Jesslynn Cavazos
• Laura A Cavazos, LPCA
• Lauro Cavazos, OTR
• Librado Omar Cavazos, FNP-BC

• Nurse Practitioner in McAllen, TX
• Providers in McAllen, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.