Individual provider Active NPI

Elizabeth Heredia Bravo, MSN, RN, CPNP

  • Pediatric Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1700163748
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
719183 Issued in TX
Practice address
4500 N Mesa St
El Paso, TX 79912-6102
Phone
(915) 532-9000
Fax
(915) 532-9006
NPI assigned
Nov 4, 2011
Last updated
Jul 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 719183 TX Primary

Addresses

Primary practice location

4500 N Mesa St
El Paso, TX 79912-6102

Mailing address

7500 Viscount Blvd Ste 298
Suite 298
El Paso, TX 79925-5607
Phone (915) 200-2694

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Elizabeth.Bravo@umcelpaso.org Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241014004090 TX Practitioner - Nurse Practitioner 9638601727 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
719183TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Umc El Paso Healthcare Inc CurrentSince Aug 7, 2025 Accepting new patients
Southwest HCP Access PA CurrentSince Dec 17, 2023 Accepting new patients
Vinay Patel, M.D., P.a. Past Accepting new patients
Pediatric Group of Central El Paso PastSince Dec 17, 2023 Accepting new patients

Locations

1560 Lomaland Dr
El Paso, TX 79935
Phone (915) 444-8394

4500 N Mesa St
El Paso, TX 79912
Phone (915) 532-9000

4659 Cohen Ave
Unit C
El Paso, TX 79924
Phone (915) 751-1152

7500 Viscount Blvd
Ste 298
El Paso, TX 79925

10600 N Loop Dr
Ste B2
Socorro, TX 79927
Phone (915) 440-4400

Interoperability endpoints

  • Direct secure messaging: elizabeth.bravo.1@24611.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24611/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1700163748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 VISCOUNT BLVD STE 298",
            "address_2": "SUITE 298",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799255607",
            "telephone_number": "915-200-2694",
            "fax_number": "915-521-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 N MESA ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126102",
            "telephone_number": "915-532-9000",
            "fax_number": "915-532-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAVO",
        "first_name": "ELIZABETH",
        "middle_name": "HEREDIA",
        "name_prefix": "Ms.",
        "credential": "MSN, RN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-04",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "719183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Elizabeth.Bravo@umcelpaso.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4500 N Mesa St",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799126102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.