Individual provider Active NPI

Maria Luisa Faner, FNP

  • Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1750403218
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
504888 Issued in TX
Practice address
2300 McKinley Ave
El Paso, TX 79930-2240
Phone
(915) 562-3444
Fax
(915) 834-3772
NPI assigned
Apr 4, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 504888 TX Primary

Addresses

Primary practice location

2300 McKinley Ave
El Paso, TX 79930-2240

Mailing address

6308 Casper RDG
El Paso, TX 79912-8130
Phone (915) 833-8154

Other identifiers 1

IdentifierTypeStateIssuer
PO82N4434MedicaidTX

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

LicenseStateTypeSpecialty
504888TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kirk a. Chandler, DO PA Past Accepting new patients

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, 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": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750403218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6308 CASPER RDG",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799128130",
            "telephone_number": "915-833-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 MCKINLEY AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799302240",
            "telephone_number": "915-562-3444",
            "fax_number": "915-834-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANER",
        "first_name": "MARIA",
        "middle_name": "LUISA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "504888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PO82N4434",
            "state": "TX"
        }
    ],
    "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 Jul 8, 2007; 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.