Individual provider Active NPI

Athena Nichole Nathan, FNP-C, MSN, RN

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1811367220
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP129159 Issued in TX
Practice address
11729 Fred Perry Dr
El Paso, TX 79936-7003
Phone
(915) 790-9600
NPI assigned
Sep 28, 2015
Last updated
Sep 28, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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 AP129159 TX Primary

Addresses

Primary practice location

11729 Fred Perry Dr
El Paso, TX 79936-7003

Mailing address

11729 Fred Perry Dr
El Paso, TX 79936-7003
Phone (915) 790-9600

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
I20160204000846 TX Practitioner - Nurse Practitioner 0042514408 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

5130 Gateway Blvd E
110 The Med Center of the Americas Foundati
El Paso, TX 79905-1608
Phone (915) 613-2478

8810 Hwy 6
Suite 100
Missouri City, TX 77459-7104
Phone (713) 486-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
AP129159TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Jun 1, 2023 Accepting new patients
Emergency Services of Texas PA CurrentSince Jan 1, 2016 Accepting new patients
Ut Physicians CurrentSince Jun 1, 2023 Accepting new patients
Lauro I. Ortega, MD, PA CurrentSince Apr 14, 2021 Accepting new patients
Salus Primary Care PLLC PastSince Sep 1, 2023 Accepting new patients

Locations

10301 Gateway Blvd W
El Paso, TX 79925
Phone (915) 543-2424

154 N Festival Dr
Ste G
El Paso, TX 79912
Phone (915) 209-0311

1801 N Oregon St
El Paso, TX 79902
Phone (409) 883-9361

5130 Gateway Blvd E
Ste 110
El Paso, TX 79905

5915 Silver Springs Dr
Bldg 6A
El Paso, TX 79912
Phone (915) 219-4222

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

8810 Highway 6
Ste 100
Sienna Plantation, TX 77459
Phone (713) 486-1200

Organizations & group practices 5

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": "1443398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443398400000",
    "number": "1811367220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11729 FRED PERRY DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367003",
            "telephone_number": "915-790-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11729 FRED PERRY DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367003",
            "telephone_number": "915-790-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATHAN",
        "first_name": "ATHENA",
        "middle_name": "NICHOLE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C, MSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-28",
        "last_updated": "2015-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP129159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.