Individual provider Active NPI

Elizabeth Navar

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1639702426
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP143706 Issued in TX
Practice address
11620 Pellicano Dr Ste a
El Paso, TX 79936-6250
Phone
(915) 996-9363
NPI assigned
Feb 20, 2020
Last updated
Apr 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 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 AP143706 TX Primary

Addresses

Primary practice location

11620 Pellicano Dr Ste a
El Paso, TX 79936-6250

Mailing address

11620 Pellicano Dr Ste a
El Paso, TX 79936-6250
Phone (915) 996-9363

Other practice location 1

7505 Lockheed Dr
El Paso, TX 79925-2404
Phone (915) 920-3837

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
I20240503000833 TX Practitioner - Nurse Practitioner 1557701836 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DC Gastro Konsult CurrentSince Nov 22, 2020 Accepting new patients
Regent Cross Medical Clinic PLLC CurrentSince Mar 22, 2020 Accepting new patients
Dominion Medical Services, PLLC CurrentSince Apr 18, 2024 Accepting new patients

Locations

1030 N Zaragoza Rd
Ste X
El Paso, TX 79907
Phone (915) 881-4155

11620 Pellicano Dr
Ste A
El Paso, TX 79936
Phone (915) 701-2495

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1639702426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11620 PELLICANO DR STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366250",
            "telephone_number": "915-996-9363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11620 PELLICANO DR STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366250",
            "telephone_number": "915-996-9363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7505 Lockheed Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799252404",
            "country_code": "US",
            "telephone_number": "915-920-3837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAVAR",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.