Individual provider Active NPI

Damaris Fabela

  • Family Nurse Practitioner
  • Rio Grande City, TX
National Provider Identifier
1750998415
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1014966 Issued in TX
Practice address
2790 Pharmacy Rd
Rio Grande City, TX 78582-6546
Phone
(956) 487-7567
Fax
(956) 487-0097
NPI assigned
Sep 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 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 1014966 TX Primary

Addresses

Primary practice location

2790 Pharmacy Rd
Rio Grande City, TX 78582-6546

Mailing address

2790 Pharmacy Rd Ste B2790
Rio Grande City, TX 78582-6546
Phone (956) 487-7567

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
I20201019001844 TX Practitioner - Nurse Practitioner 5991125676 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Donna Medical Clinic, PLLC CurrentSince Mar 7, 2022 Accepting new patients
Josegauri PA PastSince Nov 28, 2010 Accepting new patients

Locations

307 N Salinas Blvd
Donna, TX 78537
Phone (956) 464-2402

2010 E Business Highway 83
Donna, TX 78537
Phone (956) 461-6666

646 S Expressway 77
Raymondville, TX 78580
Phone (956) 690-4012

909 S Airport Dr
Weslaco, TX 78596
Phone (956) 968-0560

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": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1750998415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 PHARMACY RD STE B2790",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785826546",
            "telephone_number": "956-487-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 PHARMACY RD",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785826546",
            "telephone_number": "956-487-7567",
            "fax_number": "956-487-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABELA",
        "first_name": "DAMARIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1014966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Grande City, TX

Sources for this page

Verify at the official NPI Registry.