Individual provider Active NPI

Veronica Ayala Luevano, FNP

  • Family Nurse Practitioner
  • Carrizo Springs, TX
National Provider Identifier
1508477654
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F07202194 Issued in TX
Practice address
704 Hospital Dr
Carrizo Springs, TX 78834-3836
Phone
(830) 876-2424
Fax
(830) 876-5774
NPI assigned
Aug 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F07202194 TX Primary

Addresses

Primary practice location

704 Hospital Dr
Carrizo Springs, TX 78834-3836

Mailing address

704 Hospital Dr
Carrizo Springs, TX 78834-3836
Phone (830) 876-2424

Other identifiers 1

IdentifierTypeStateIssuer
F-07202194OtherTXTEXAS BOARD OF NURSING

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
I20201002000565 TX Practitioner - Nurse Practitioner 2769801265 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F07202194TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dimmit Regional Hospital Current Accepting new patients
Dimmit Regional Hospital CurrentSince Jul 25, 2020 Accepting new patients
Dimmit Regional Hospital CurrentSince Jul 25, 2020 Accepting new patients
Dimmit Regional Hospital Current Accepting new patients

Locations

704 Hospital Dr
Carrizo Springs, TX 78834
Phone (830) 876-2424

304 S 5th St
Carrizo Springs, TX 78834
Phone (830) 876-9421

504 Hospital Dr
Ste B
Carrizo Springs, TX 78834
Phone (830) 876-9458

1313 Veterans Ave
Ste A
Crystal City, TX 78839
Phone (830) 374-9823

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/bfa557fc-696e-49f4-8d78-7cdfe1e82721/
  • FHIR API: https://fhir-usa.unify.chbase.com/org/dimmit-a3ff579f

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": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1508477654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 HOSPITAL DR",
            "city": "CARRIZO SPRINGS",
            "state": "TX",
            "postal_code": "788343836",
            "telephone_number": "830-876-2424",
            "fax_number": "830-876-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 HOSPITAL DR",
            "city": "CARRIZO SPRINGS",
            "state": "TX",
            "postal_code": "788343836",
            "telephone_number": "830-876-2424",
            "fax_number": "830-876-5774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUEVANO",
        "first_name": "VERONICA",
        "middle_name": "AYALA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F07202194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING",
            "identifier": "F-07202194",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrizo Springs, TX

Sources for this page

Verify at the official NPI Registry.