Active NPI
Leticia A Basurto
- Adult Care Home Facility
- El Paso, TX
National Provider Identifier
1811031578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- 148631
- Practice address
- 5709 Lexington Dr
El Paso, TX 79924-7410 - Phone
- (915) 751-4983
- NPI assigned
- Feb 16, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | 148631 | TX | Primary |
Addresses
Primary practice location
5709 Lexington Dr
El Paso, TX 79924-7410
Mailing address
5709 Lexington Dr
El Paso, TX 79924-7410
Phone (915) 740-2687
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000999813 | Other | TX | STATE I.D. |
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 |
|---|---|---|---|
| 148631 | TX | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556150400000",
"number": "1811031578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5709 LEXINGTON DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799247410",
"telephone_number": "915-740-2687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5709 LEXINGTON DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799247410",
"telephone_number": "915-751-4983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASURTO",
"first_name": "LETICIA",
"middle_name": "A",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-16",
"last_updated": "2019-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "TX",
"license": "148631",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE I.D.",
"identifier": "000999813",
"state": "TX"
}
],
"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 Apr 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.