Jaclyn Michelle Fike-Taveras, AGACNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

1140696 Issued in TX

Practice address

6004 Balcones CT
El Paso, TX 79912-3319

Phone

(662) 202-6485

NPI assigned

Nov 8, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: jaclyn.fike-taveras.1@17045.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1679347975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6004 BALCONES CT",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799123319",
            "telephone_number": "662-202-6485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6004 BALCONES CT",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799123319",
            "telephone_number": "662-202-6485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIKE-TAVERAS",
        "first_name": "JACLYN",
        "middle_name": "MICHELLE",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "1140696",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1140696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Figueroa
• Hector Clemente Figueroa
• Leon Pavel Figueroa, MD, MSC
• Luis Figueroa, LCSW
• Raquib Shakur Figueroa, DPT
• Vid Fikfak, MD
• Trent Cecil Filler, D.D.S.
• Meghan Fillinger, MD
• Marco Michelle Fimbres Ramirez, M.D.
• Ruben Joseph Fineron, LPC

• Acute Care Nurse Practitioner in El Paso, TX
• Providers in El Paso, TX by specialty
• Acute Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.