January Dawn Ivancic

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1137078 Issued in TX

Practice address

1205 N Oregon St
El Paso, TX 79902-4023

Phone

(915) 533-4900

NPI assigned

Jul 14, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• January Dawn Lovett Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1730868993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 SAND DRIFT PL",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799289113",
            "telephone_number": "915-400-8583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 N OREGON ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024023",
            "telephone_number": "915-533-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVANCIC",
        "first_name": "JANUARY",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "1093395139",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1137078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANUARY",
            "last_name": "LOVETT",
            "middle_name": "DAWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mariam Issa
• Isuani Radiology, P.a.
• Hugo E Isuani, MD
• Dolores Annette Ituarte Valenzuela, LPC
• Cynthia Shaw Ivan, NP
• Ivonne Barrera Counseling and Education Services
• Roy Ivy Jr., M.D.
• Femi David Iwaloye, M.D.
• Nicholas Iwata
• Masayuki Iyanaga, MD

• 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 Oct 6, 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.