Individual provider Active NPI

Salalau Ruta Blocker, FNP-C

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1740819382
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP145678 Issued in TX
Practice address
12350 Paseo Nuevo Dr
El Paso, TX 79928-5668
Phone
(915) 225-4470
Fax
(915) 533-8055
NPI assigned
Apr 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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 AP145678 TX Primary

Addresses

Primary practice location

12350 Paseo Nuevo Dr
El Paso, TX 79928-5668

Mailing address

3317 Tierra Espada Dr
El Paso, TX 79938-4739

Other practice location 1

3317 Tierra Espada Dr
El Paso, TX 79938-4739
Phone (915) 820-0753

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
I20200918001255 TX Practitioner - Nurse Practitioner 5193143493 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Paseo Nuevo Urgent Care PLLC CurrentSince May 11, 2021 Accepting new patients
Carol N. Abalihi, MD, PA CurrentSince Jul 27, 2020 Accepting new patients

Locations

1700 N Oregon St
Ste 710
El Paso, TX 79902
Phone (915) 225-4470

12350 Paseo Nuevo Dr
El Paso, TX 79928
Phone (915) 225-4470

1625 Medical Center Dr
El Paso, TX 79902
Phone (915) 577-7746

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17126/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1740819382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 TIERRA ESPADA DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799384739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12350 PASEO NUEVO DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799285668",
            "telephone_number": "915-225-4470",
            "fax_number": "915-533-8055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3317 Tierra Espada Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799384739",
            "country_code": "US",
            "telephone_number": "915-820-0753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLOCKER",
        "first_name": "SALALAU",
        "middle_name": "RUTA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-06",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP145678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.