Individual provider Active NPI

Ubaldo Estrada, FNP-C

  • Family Nurse Practitioner
  • Andrews, TX
National Provider Identifier
1740723725
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP132685 Issued in TX
Practice address
1411 N Main St
Andrews, TX 79714-3696
Phone
(432) 464-2586
Fax
(432) 523-9013
NPI assigned
Nov 23, 2016
Last updated
Apr 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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 AP132685 TX Primary

Addresses

Primary practice location

1411 N Main St
Andrews, TX 79714-3696

Mailing address

1411 N Main St
Andrews, TX 79714-3696
Phone (432) 464-2586

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
I20170316000262 TX Practitioner - Nurse Practitioner 6002191939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andrews County Hospital DistrictGroup PAC ID 6002724945, 11 clinicians

Practice addresses (Care Compare)

1411 N Main St
Andrews, TX 79714-3696

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Andrews County Hospital District Current Accepting new patients
Andrews County Hospital District CurrentSince Jan 16, 2018 Accepting new patients
Andrews County Hospital District CurrentSince Jan 16, 2018 Accepting new patients
Andrews County Hospital District Past Accepting new patients
Andrews County Hospital District Past Accepting new patients
Andrews County Hospital District Past Accepting new patients
Andrews County Hospital District Past Accepting new patients
Andrews County Hospital District Past Accepting new patients

Locations

1411 N Main St
Andrews, TX 79714
Phone (432) 464-2200

Interoperability endpoints

  • Direct secure messaging: uestrada@permian.medalliesdirect.net

Organizations & group practices 8

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": "1479859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1740723725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 N MAIN ST",
            "city": "ANDREWS",
            "state": "TX",
            "postal_code": "797143696",
            "telephone_number": "432-464-2586",
            "fax_number": "432-523-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N MAIN ST",
            "city": "ANDREWS",
            "state": "TX",
            "postal_code": "797143696",
            "telephone_number": "432-464-2586",
            "fax_number": "432-523-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "UBALDO",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-23",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP132685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andrews, TX

Sources for this page

Verify at the official NPI Registry.