Individual provider Active NPI

Noe Farid Burguette, FNP

  • Gerontology Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1780373910
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1064161 Issued in TX
Practice address
9555 Diana Dr
El Paso, TX 79924-6951
Phone
(915) 800-1106
NPI assigned
May 3, 2023
Last updated
Aug 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230731003996 TX Practitioner - Nurse Practitioner 4880055375 Reassigns benefits to 2 organizations

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
Dr Ajai J Agarwal MD PAGroup PAC ID 4880683689, 4 clinicians

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

LicenseStateTypeSpecialty
1064161TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iahiar PA Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients
Dr Ajai J Agarwal MD PA CurrentSince Jun 15, 2024 Accepting new patients
Saurabh a Pande PA PastSince Dec 22, 2017 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

  • FHIR API: https://api.platform.athenahealth.com/18274/brand/1/csg/1/fhir/r4
  • FHIR API: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.