Individual provider Active NPI

Heather Davis-Lopez, PA-C

  • Physician Assistant
  • Edinburg, TX
National Provider Identifier
1588160295
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA11899
Practice address
293 E Trenton Rd Ste 20
Edinburg, TX 78539-9762
Phone
(956) 348-0140
Fax
(956) 292-0700
NPI assigned
Apr 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA11899 Primary

Addresses

Primary practice location

293 E Trenton Rd Ste 20
Edinburg, TX 78539-9762

Mailing address

293 E Trenton Rd Ste 20
Edinburg, TX 78539-9762
Phone (956) 348-0140

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
I20210909000062 TX Practitioner - Physician Assistant 9638575137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Carenow Urgent Care PLLCGroup PAC ID 7012291958, 113 clinicians

Practice addresses (Care Compare)

10422 Research Forest Dr
Magnolia, TX 77354-6155
Phone (832) 702-7699

2901 W Nolana Ave
Suite 10
McAllen, TX 78504-4896
Phone (956) 558-6090

293 E Trenton Rd
Suite 20
Edinburg, TX 78539-9762
Phone (956) 348-0140

920 W Interstate 2
San Juan, TX 78589-3788
Phone (956) 904-4660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

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": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1588160295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 E TRENTON RD STE 20",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399762",
            "telephone_number": "956-348-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 E TRENTON RD STE 20",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399762",
            "telephone_number": "956-348-0140",
            "fax_number": "956-292-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS-LOPEZ",
        "first_name": "HEATHER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": "PA11899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.