Individual provider Active NPI

Judith Sarah Salazar, FNP

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1588047575
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP128327 Issued in TX
Practice address
1721 N Lee Trevino Dr
El Paso, TX 79936
Phone
(915) 590-9424
Fax
(915) 590-9044
NPI assigned
Jul 8, 2015
Last updated
Jun 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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 AP128327 TX Primary

Addresses

Primary practice location

1721 N Lee Trevino Dr
El Paso, TX 79936

Mailing address

1721 N Lee Trevino Dr
El Paso, TX 79936-4563
Phone (915) 590-9424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160628001134 NM Practitioner - Nurse Practitioner 3779874458 Reassigns benefits to 1 organization
I20180622000884 TX Practitioner - Nurse Practitioner 3779874458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

1721 N Lee Trevino Dr
Wellmed at Lee Trevino
El Paso, TX 79936-4563
Phone (915) 590-9424

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP128327TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Srirengam Muralidhasan MD LLC CurrentSince May 15, 2016 Accepting new patients
Wellmed Medical Group, PA Current Accepting new patients
Wellmed Medical Group, P.a. CurrentSince Jun 4, 2018 Accepting new patients
St. David's Carenow Urgent Care PLLC Past Accepting new patients

Locations

1605 El Paseo Rd
Las Cruces, NM 88001
Phone (505) 527-2600

1721 N Lee Trevino Dr
El Paso, TX 79936
Phone (915) 590-9424

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1588047575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 N LEE TREVINO DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364563",
            "telephone_number": "915-590-9424",
            "fax_number": "915-590-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 N LEE TREVINO DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79936",
            "telephone_number": "915-590-9424",
            "fax_number": "915-590-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAZAR",
        "first_name": "JUDITH",
        "middle_name": "SARAH",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-08",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.