Individual provider Active NPI

Indira Vogel, FNP

  • Family Nurse Practitioner
  • San Juan, TX
National Provider Identifier
1790459360
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1049385 Issued in TX
Practice address
3006 N Raul Longoria Rd
San Juan, TX 78589-3676
Phone
(956) 283-9800
NPI assigned
Aug 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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 1049385 TX Primary

Addresses

Primary practice location

3006 N Raul Longoria Rd
San Juan, TX 78589-3676

Mailing address

3006 N Raul Longoria Rd
San Juan, TX 78589-3676

Other names 1

  • Ms. Indira Fajardo Reyes Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Texas

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
I20220418001758 TX Practitioner - Nurse Practitioner 6800283029 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1049385TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Villarreal Medical Center, PA CurrentSince Jan 12, 2022 Accepting new patients

Locations

3006 N Raul Longoria Rd
San Juan, TX 78589
Phone (956) 283-9800

Interoperability endpoints

  • Direct secure messaging: indira.vogel.1@30238.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1790459360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 N RAUL LONGORIA RD",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 N RAUL LONGORIA RD",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893676",
            "telephone_number": "956-283-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGEL",
        "first_name": "INDIRA",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1049385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Texas",
            "affiliation": "N",
            "address_1": "3006 N Raul Longoria Rd",
            "city": "San Juan",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785893676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "INDIRA",
            "last_name": "REYES",
            "middle_name": "FAJARDO",
            "prefix": "MS.",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Juan, TX

Sources for this page

Verify at the official NPI Registry.