Individual provider Active NPI

Erika Jazmin Rivas

  • Family Medicine Physician
  • El Paso, TX
National Provider Identifier
1821836453
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1169240 Issued in TX
Practice address
3101 Forney LN
El Paso, TX 79935-1607
Phone
(915) 317-6033
NPI assigned
Jul 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1169240 TX Primary

Addresses

Primary practice location

3101 Forney LN
El Paso, TX 79935-1607

Mailing address

903 Tyler Seth Ave
El Paso, TX 79932-4005
Phone (915) 328-7288

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
I20260122000308 TX Order and Referring Only - Nurse Practitioner 0547747495

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1169240TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Walk-in Clinic, PA Family Medicine CurrentSince Jul 21, 2024 Accepting new patients

Locations

2600 Idalia Ave
El Paso, TX 79930
Phone (915) 317-6033

7806 West Dr
El Paso, TX 79915
Phone (915) 317-1288

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1821836453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 TYLER SETH AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799324005",
            "telephone_number": "915-328-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 FORNEY LN",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799351607",
            "telephone_number": "915-317-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVAS",
        "first_name": "ERIKA",
        "middle_name": "JAZMIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "1169240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.