Jacqueline Vanessa Sifuentes, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP142036 Issued in TX

Practice address

7420 Remcon Cir Ste a
El Paso, TX 79912-3537

Phone

(915) 532-8823

Fax

(915) 532-5909

NPI assigned

Jun 11, 2012

Last updated

Feb 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Jacqueline Vanessa Medina Former name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rio Grande Urology PA

  • Specialist
  • El Paso, TX
  • NPI 1750416921
  Medicare reassignment NPD
• Rio Grande Urology PA

  dba RGU Pharmacy

  • Clinic Pharmacy
  • El Paso, TX
  • NPI 1881130623
  NPD (past)

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1699037242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7420 REMCON CIR STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799123537",
            "telephone_number": "915-532-8823",
            "fax_number": "915-532-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7420 REMCON CIR STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799123537",
            "telephone_number": "915-532-8823",
            "fax_number": "915-532-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIFUENTES",
        "first_name": "JACQUELINE",
        "middle_name": "VANESSA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "MEDINA",
            "middle_name": "VANESSA",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kamrin Sierra
• Sandra Susana Sierra, LPC-ASSOCIATE
• Alexis Sifuentes
• Blanca M. Sifuentes, L.P.C.
• Christian S Sifuentes, FNP-C
• Liliana Sifuentes, DC
• Luis Sifuentes
• Yolanda Adelina Sifuentes, PMHNP-BC
• Luis Alfredo Sigala
• Barbara F. Sigler

• 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 Feb 18, 2022; 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.