Active NPI
Brisa Maria Molina
- Acute Care Nurse Practitioner
- El Paso, TX
National Provider Identifier
1760218499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 1174330
- Practice address
- 11620 Pellicano Dr Ste E
El Paso, TX 79936 - Phone
- (915) 701-2495
- NPI assigned
- Sep 10, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 1174330 | TX | Primary |
Addresses
Primary practice location
11620 Pellicano Dr Ste E
El Paso, TX 79936
Mailing address
P.O.Box 1732 6883 Second Street
Canutillo, TX 79835
Phone (915) 777-2821
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1174330 | TX | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DC Gastro Konsult | Current | Accepting new patients |
Locations
11620 Pellicano Dr
Ste E
El Paso, TX 79936
Phone (915) 701-2495
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
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 and National Provider Directory roles.
-
- Gastroenterology Physician
- El Paso, TX
- NPI 1003432543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1760218499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O.BOX 1732 6883 SECOND STREET",
"city": "CANUTILLO",
"state": "TX",
"postal_code": "79835",
"telephone_number": "915-777-2821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11620 PELLICANO DR STE E",
"city": "EL PASO",
"state": "TX",
"postal_code": "79936",
"telephone_number": "915-701-2495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLINA",
"first_name": "BRISA",
"middle_name": "MARIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-10",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "1174330",
"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 Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.