Individual provider Active NPI

Abigail Canava Quiroz, FNP

  • Family Nurse Practitioner
  • Kermit, TX
National Provider Identifier
1740742048
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP138358 Issued in TX
Practice address
828 Myer LN
Kermit, TX 79745-4634
Phone
(432) 586-2040
Fax
(432) 586-9136
NPI assigned
Apr 4, 2019
Last updated
Apr 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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 AP138358 TX Primary

Addresses

Primary practice location

828 Myer LN
Kermit, TX 79745-4634

Mailing address

715 Underwood St
Kermit, TX 79745-4520
Phone (432) 586-2712

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
I20200529001008 TX Practitioner - Nurse Practitioner 3678994662 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Winkler County Hospital District Current Accepting new patients
Winkler County Hospital District Past Accepting new patients

Locations

821 Jeffee Dr
Kermit, TX 79745
Phone (432) 586-2040

Organizations & group practices 2

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": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1740742048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 UNDERWOOD ST",
            "city": "KERMIT",
            "state": "TX",
            "postal_code": "797454520",
            "telephone_number": "432-586-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 MYER LN",
            "city": "KERMIT",
            "state": "TX",
            "postal_code": "797454634",
            "telephone_number": "432-586-2040",
            "fax_number": "432-586-9136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIROZ",
        "first_name": "ABIGAIL",
        "middle_name": "CANAVA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-04",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP138358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kermit, TX

Sources for this page

Verify at the official NPI Registry.