Organization Active NPI

Premier Clinic PLLC

Doing business as Premier Clinic

  • Primary Care Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1659056984
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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)CodeLicenseStatePrimary
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 Doing business as
  • Premier Clinic PLLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.