Active NPI
Noe Farid Burguette, FNP
- Gerontology Nurse Practitioner
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 1064161
- Practice address
- 9555 Diana Dr
El Paso, TX 79924-6951 - Phone
- (915) 800-1106
- NPI assigned
- May 3, 2023
- Last updated
- Aug 11, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 1064161 | TX | Primary |
Addresses
Primary practice location
9555 Diana Dr
El Paso, TX 79924-6951
Mailing address
2245 Robert Wynn St
El Paso, TX 79936-3649
Phone (915) 373-8248
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3022 Trawood Dr
Suite a
El Paso, TX 79936-4329
3022 Trawood Dr
Suite a
El Paso, TX 79936-4333
Phone (915) 855-8550
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1064161 | TX | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iahiar PA | Internal Medicine | Current | Accepting new patients |
| Dr Ajai J Agarwal MD PA | Current | Accepting new patients | |
| Saurabh a Pande PA | Past | Accepting new patients |
Locations
10470 Vista del Sol Dr
Ste 105
El Paso, TX 79925
Phone (915) 218-6055
3022 Trawood Dr
Ste A
El Paso, TX 79936
Phone (915) 855-8550
9555 Diana Dr
El Paso, TX 79924
Phone (915) 455-2266
Interoperability endpoints
- https://api.platform.athenahealth.com/18274/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/25296/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
dba Montwood Family Medical Center
- Family Medicine Physician
- El Paso, TX
- NPI 1851423990
-
- Internal Medicine Physician
- El Paso, TX
- NPI 1215597521
-
- Nephrology Physician
- El Paso, TX
- NPI 1881100972
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- El Paso, TX
- NPI 1881904860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691712000000",
"number": "1780373910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2245 ROBERT WYNN ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799363649",
"telephone_number": "915-373-8248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9555 DIANA DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799246951",
"telephone_number": "915-800-1106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGUETTE",
"first_name": "NOE",
"middle_name": "FARID",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-05-03",
"last_updated": "2023-08-11",
"certification_date": "2023-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "1064161",
"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 Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.