Organization Active NPI

Bianca Lopez, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1689237380
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BIANCA LOPEZ, LLC
Practice address
11860 Vista del Sol Dr Ste 107
El Paso, TX 79936-6128
Phone
(915) 233-6200
Fax
(915) 621-1339
NPI assigned
Apr 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Authorized official

Name
Bianca Lopez, NPNPI 1457860561
Title
Ceo
Phone
(915) 383-0277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

11860 Vista del Sol Dr Ste 107
El Paso, TX 79936-6128

Mailing address

1605 George Dieter Dr Ste 636
El Paso, TX 79936-5692
Phone (915) 671-1371

Other practice location 1

1990 E Lohman Ave Ste 110
Las Cruces, NM 88001-3172
Phone (915) 233-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220307000202 TX Part B Supplier - Clinic/Group Practice 5698003234 Receives reassigned benefits from 2 practitioners
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Locations

224 Anthony Dr
Anthony, NM 88021
Phone (214) 662-1791

11860 Vista del Sol Dr
Ste 134
El Paso, TX 79936
Phone (915) 233-6200

11860 Vista del Sol Dr
Unit 107
El Paso, TX 79936

11860 Vista del Sol Dr
Ste 107
El Paso, TX 79936
Phone (915) 233-6200

300 E Main Dr
Ste 220
El Paso, TX 79901
Phone (915) 233-6200

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1689237380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 GEORGE DIETER DR STE 636",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365692",
            "telephone_number": "915-671-1371",
            "fax_number": "915-219-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11860 VISTA DEL SOL DR STE 107",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366128",
            "telephone_number": "915-233-6200",
            "fax_number": "915-621-1339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1990 E Lohman Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880013172",
            "country_code": "US",
            "telephone_number": "915-233-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BIANCA LOPEZ, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-17",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "BIANCA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "915-383-0277",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.