Individual provider Active NPI

Garrett Dennis Hall, BSN RN CSTR CAISS

  • Continuing Education/Staff Development Registered Nurse
  • El Paso, TX
National Provider Identifier
1699367144
Registry record updated Jan 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Continuing Education/Staff Development Registered NurseTaxonomy code 163WC1600X
License
920054 Issued in TX
Practice address
525 Via de Los Arboles
El Paso, TX 79932-1827
Phone
(469) 243-2059
NPI assigned
Feb 5, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Continuing Education/Staff Development Registered Nurse 163WC1600X 95175781 CA
Emergency Registered Nurse 163WE0003X R251538 MD
Continuing Education/Staff Development Registered Nurse 163WC1600X 920054 TX Primary

Addresses

Primary practice location

525 Via de Los Arboles
El Paso, TX 79932-1827

Mailing address

644 Peace Chance Dr
Havre de Grace, MD 21078-3162
Phone (469) 243-2059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
95175781CAMDContinuing Education/Staff Development Registered Nurse
920054TXMDContinuing Education/Staff Development Registered Nurse
R251538MDMDEmergency Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673654400000",
    "number": "1699367144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 PEACE CHANCE DR",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783162",
            "telephone_number": "469-243-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 VIA DE LOS ARBOLES",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799321827",
            "telephone_number": "469-243-2059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "GARRETT",
        "middle_name": "DENNIS",
        "credential": "BSN RN CSTR CAISS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-05",
        "last_updated": "2023-01-14",
        "certification_date": "2023-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "CA",
            "license": "95175781",
            "primary": false
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "MD",
            "license": "R251538",
            "primary": false
        },
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "TX",
            "license": "920054",
            "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 Jan 14, 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.