Active NPI
Sandra Luz Nevarez-Balderrama, NNP
- Neonatal Nurse Practitioner
- El Paso, TX
National Provider Identifier
1740374354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- AP113775
- Practice address
- 2001 N Oregon
El Paso, TX 79912 - Phone
- (915) 577-6640
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Intensive Care Registered Nurse | 163WN0002X | 510093 | TX | |
| Neonatal Intensive Care Registered Nurse | 163WN0002X | 101-0134318 | VT | |
| Neonatal Nurse Practitioner | 363LN0000X | AP113775 | TX | Primary |
Addresses
Primary practice location
2001 N Oregon
El Paso, TX 79912
Mailing address
600 Villa Place
El Paso, TX 79907
Phone (915) 887-7337
Other practice location 1
800 E Dawson St
Tyler, TX 75701-2036
Phone (903) 606-1800
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 510093 | TX | MD | Neonatal Intensive Care Registered Nurse |
| 101-0134318 | VT | MD | Neonatal Intensive Care Registered Nurse |
| AP113775 | TX | MD | Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Clinic | Past | Accepting new patients |
Interoperability endpoints
- snevarezbalderrama573840@christushealth.direct-ci.net
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.
-
- Family Medicine Physician
- Tyler, TX
- NPI 1922058304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739923200000",
"number": "1740374354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 VILLA PLACE",
"city": "EL PASO",
"state": "TX",
"postal_code": "79907",
"telephone_number": "915-887-7337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 N OREGON",
"city": "EL PASO",
"state": "TX",
"postal_code": "79912",
"telephone_number": "915-577-6640"
}
],
"practiceLocations": [
{
"address_1": "800 E Dawson St",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757012036",
"country_code": "US",
"telephone_number": "903-606-1800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEVAREZ-BALDERRAMA",
"first_name": "SANDRA",
"middle_name": "LUZ",
"credential": "NNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2025-02-19",
"certification_date": "2025-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "163WN0002X",
"taxonomy_group": "",
"desc": "Registered Nurse, Neonatal Intensive Care",
"state": "TX",
"license": "510093",
"primary": false
},
{
"code": "163WN0002X",
"taxonomy_group": "",
"desc": "Registered Nurse, Neonatal Intensive Care",
"state": "VT",
"license": "101-0134318",
"primary": false
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "TX",
"license": "AP113775",
"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 Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.