Organization Active NPI

Southwest #1, LLC

  • Prosthetic/Orthotic Supplier
  • El Paso, TX
National Provider Identifier
1750904025
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
SOUTHWEST #1, LLC
Practice address
5400 Suncrest Dr Ste A1
El Paso, TX 79912-5609
Phone
(915) 529-1411
Fax
(915) 529-1815
NPI assigned
May 21, 2020
Last updated
Jan 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Authorized official

Name
Amanda NelsonNPI 1457005126
Title
Owner
Phone
(915) 529-1411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

5400 Suncrest Dr Ste A1
El Paso, TX 79912-5609

Mailing address

5400 Suncrest Dr Ste A1
El Paso, TX 79912-5609
Phone (915) 529-1411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200922001365 TX DME Supplier - Prosthetic PersonnelDME Supplier - Orthotic Personnel 8022436179 Practice locations: El Paso, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Southwest #1, LLC5400 Suncrest Dr, El Paso, TX 79912-5609(915) 529-1411 Limb Prostheses Does not accept assignmentParticipating since Sep 17, 2020

National Provider Directory

National Provider Directory

Locations

5400 Suncrest Dr
Ste A1
El Paso, TX 79912
Phone (915) 529-1411

4200 Research Forest Dr
Ste 196
The Woodlands, TX 77381
Phone (281) 419-3385

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1750904025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 SUNCREST DR STE A1",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125609",
            "telephone_number": "915-529-1411",
            "fax_number": "915-529-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 SUNCREST DR STE A1",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125609",
            "telephone_number": "915-529-1411",
            "fax_number": "915-529-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST #1, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-21",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-529-1411"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "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 Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.