Editha Abrenilla Claros, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP1113358 Issued in TX

Practice address

6600 Montana Ave Ste P
El Paso, TX 79925-2149

Phone

(915) 671-1371

Fax

(915) 219-9022

NPI assigned

Jun 15, 2006

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

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alejandro Rocha Jr. D.O., P.a.

  • Family Medicine Physician
  • El Paso, TX
  • NPI 1477880284
  Medicare reassignment NPD

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1679517403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8269 NORTH LOOP ROAD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799074234",
            "telephone_number": "915-591-1615",
            "fax_number": "915-591-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 MONTANA AVE STE P",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799252149",
            "telephone_number": "915-671-1371",
            "fax_number": "915-219-9022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8269 North Loop Road",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799074234",
            "country_code": "US",
            "telephone_number": "915-591-1615",
            "fax_number": "915-591-2875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8825 N Loop Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799074607",
            "country_code": "US",
            "telephone_number": "915-671-1371 x218",
            "fax_number": "915-219-9022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAROS",
        "first_name": "EDITHA",
        "middle_name": "ABRENILLA",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "569803",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP1113358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179836501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Walter Clark, PA-C
• Kevin Landis Clark, O.D.
• Kristey Lee Clark
• Regina Collette Clark, LMSW
• Karina Clarke
• Samuel Clarot, DDS MD
• Krystallin Clausen, RN
• Shelbie Claycomb
• David Clayden, DDS, MSD
• Claymore Counseling, PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.