Individual provider Active NPI

Maday Cristina Lopez, FNP-C

  • Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1679076780
Registry record updated Jun 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP136829 Issued in TX
Practice address
10301 Gateway Blvd W
El Paso, TX 79925-7701
Phone
(915) 595-9000
NPI assigned
Mar 14, 2018
Last updated
Jun 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP136829 TX Primary
Family Nurse Practitioner 363LF0000X AP136829 TX

Addresses

Primary practice location

10301 Gateway Blvd W
El Paso, TX 79925-7701

Mailing address

10301 Gateway Blvd W
El Paso, TX 79925-7701
Phone (915) 595-9000

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
I20190117001670 TX Practitioner - Nurse Practitioner 8123364825 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Services of Texas PAGroup PAC ID 7517289291, 57 clinicians

Practice addresses (Care Compare)

10301 Gateway Blvd W
Del Sol Med Ctr
El Paso, TX 79925-7701
Phone (915) 595-9000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP136829TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Services of Texas PA Nurse Practitioner CurrentSince Jul 1, 2023 Accepting new patients
El Paso County Hospital District CurrentSince Aug 1, 2021 Accepting new patients
Alejandro Rocha Jr. D.O., P.a. CurrentSince Dec 1, 2018 Accepting new patients
El Paso County Hospital District CurrentSince Aug 1, 2021 Accepting new patients

Locations

10301 Gateway Blvd W
El Paso, TX 79925
Phone (915) 543-2424

10500 Vista del Sol Dr
Ste C
El Paso, TX 79925
Phone (915) 256-3842

1535 N Resler Dr
El Paso, TX 79912
Phone (915) 231-1600

1801 N Oregon St
El Paso, TX 79902
Phone (409) 883-9361

4445 N Mesa St
Ste 122
El Paso, TX 79902

4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000

5746 Trowbridge Dr
El Paso, TX 79925

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": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687564800000",
    "number": "1679076780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10301 GATEWAY BLVD W",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257701",
            "telephone_number": "915-595-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 GATEWAY BLVD W",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257701",
            "telephone_number": "915-595-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "MADAY",
        "middle_name": "CRISTINA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-14",
        "last_updated": "2023-06-24",
        "certification_date": "2023-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP136829",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136829",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.