Individual provider Active NPI

Juan Roberto Garcia

  • Nurse Practitioner
  • Lubbock, TX
National Provider Identifier
1700139946
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP122729 Issued in TX
Practice address
5613 114TH St
Lubbock, TX 79424-6985
Phone
(806) 515-4263
Fax
(806) 224-2414
NPI assigned
Oct 25, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 229814 LA
Nurse Practitioner 363L00000X AP122729 TX Primary

Addresses

Primary practice location

5613 114TH St
Lubbock, TX 79424-6985

Mailing address

5613 114TH St
Lubbock, TX 79424-6985
Phone (806) 515-4263

Other practice location 1

201 4th St Ste 5B
Alexandria, LA 71301-8421
Phone (318) 767-0605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130116000479 TX Practitioner - Nurse Practitioner 5991958233
I20230824003207 LA Practitioner - Nurse Practitioner 5991958233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rapides Regional Physician Group, Specialty Care, LLCGroup PAC ID 3375646466, 41 clinicians

Practice addresses (Care Compare)

201 4TH St
Alexandria, LA 71301-8421
Phone (318) 769-3501

Merit-based Incentive Payment System (MIPS)

Final score
81.07 of 100Reported as group
Quality
65.81
Promoting interoperability
99
Improvement activities
40
Cost
68.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
229814LAMDNurse Practitioner
AP122729TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rapides Regional Physician Group Specialty Care, LLC CurrentSince Aug 1, 2023 Accepting new patients

Locations

201 4th St
Ste 5
Alexandria, LA 71301
Phone (318) 769-3501

501 Medical Center Dr
Ste 1A
Alexandria, LA 71301
Phone (318) 442-5800

201 4th St
Ste 5B
Alexandria, LA 71301
Phone (318) 767-0605

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: juan.garcia@direct.myteamcare.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1700139946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5613 114TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794246985",
            "telephone_number": "806-515-4263",
            "fax_number": "806-224-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5613 114TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794246985",
            "telephone_number": "806-515-4263",
            "fax_number": "806-224-2414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 4th St Ste 5B",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "LA",
            "postal_code": "713018421",
            "country_code": "US",
            "telephone_number": "318-767-0605",
            "fax_number": "318-767-0086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "JUAN",
        "middle_name": "ROBERTO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-25",
        "last_updated": "2023-04-20",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "229814",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP122729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.