Active NPI
Premier Clinic PLLC
Doing business as Premier Clinic
- Primary Care Nurse Practitioner
- El Paso, TX
National Provider Identifier
1659056984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- PREMIER CLINIC PLLC
- Doing business as
- Premier Clinic
Premier Clinic PLLC - Practice address
- 11351 James Watt Dr BLDG C-300
El Paso, TX 79936-6627 - Phone
- (915) 320-7707
- Fax
- (949) 655-8769
- NPI assigned
- Jun 15, 2023
- Last updated
- Jun 15, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karina Yvette Mendoza, DNP
- Title
- Medical Provider/Owner
- Phone
- (915) 892-1531
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | NU | Primary |
Addresses
Primary practice location
11351 James Watt Dr BLDG C-300
El Paso, TX 79936-6627
Mailing address
11351 James Watt Dr BLDG C-300
El Paso, TX 79936-6627
Phone (915) 320-7707
Other names 2
- Premier Clinic
- Premier Clinic PLLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- El Paso, TX
- NPI 1902456452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686787200000",
"number": "1659056984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11351 JAMES WATT DR BLDG C-300",
"city": "EL PASO",
"state": "TX",
"postal_code": "799366627",
"telephone_number": "915-320-7707",
"fax_number": "949-655-8769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11351 JAMES WATT DR BLDG C-300",
"city": "EL PASO",
"state": "TX",
"postal_code": "799366627",
"telephone_number": "915-320-7707",
"fax_number": "949-655-8769"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER CLINIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-15",
"last_updated": "2023-06-15",
"certification_date": "2023-03-27",
"status": "A",
"authorized_official_last_name": "MENDOZA",
"authorized_official_first_name": "KARINA",
"authorized_official_middle_name": "YVETTE",
"authorized_official_title_or_position": "MEDICAL PROVIDER/OWNER",
"authorized_official_telephone_number": "915-892-1531",
"authorized_official_credential": "DNP"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Premier Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Premier Clinic PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in El Paso, TX
- Precision Prosthetic Inc
- Precision Prosthetics and Orthotics, Inc. (Precision Prosthetics, Inc.)
- Laura Marie Preece, DO
- Preferred Adult Day Care Center LLC
- Preferred Pediatric Home Care Inc
- Premier Eyewear (Premier Vision)
- Premier Foot and Ankle Specialist of Texas - Professional Association
- Premier Hand Therapy
- Premier Hand Therapy (JoAnne Clifford)
- Premier Hand Therapy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.