Individual provider Active NPI

Isabel Maria Alvarez, NP-C

  • Family Nurse Practitioner
  • Bastrop, TX
National Provider Identifier
1700450210
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1031959 Issued in TX
Practice address
489 Agnes St Ste 100
Bastrop, TX 78602-2157
Phone
(512) 321-9091
NPI assigned
May 18, 2021
Last updated
May 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1031959 TX Primary

Addresses

Primary practice location

489 Agnes St Ste 100
Bastrop, TX 78602-2157

Mailing address

PO Box 181
Dime Box, TX 77853-0181
Phone (512) 508-9034

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
I20210914000031 TX Practitioner - Nurse Practitioner 6608272844 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lewis Family Medicine CurrentSince Mar 1, 2023 Accepting new patients

Locations

5424 W Highway 290
Ste 101
Austin, TX 78735
Phone (512) 368-9581

14008 Shadowglen Blvd
Ste 104
Manor, TX 78653
Phone (512) 886-4600

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21581/brand/2/csg/1/fhir/r4

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, 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": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1700450210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 181",
            "city": "DIME BOX",
            "state": "TX",
            "postal_code": "778530181",
            "telephone_number": "512-508-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 AGNES ST STE 100",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786022157",
            "telephone_number": "512-321-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "ISABEL",
        "middle_name": "MARIA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1031959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, TX

Sources for this page

Verify at the official NPI Registry.