Diana E Villarreal, RN, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

AP126931 Issued in TX

Practice address

1616 Logan Ave
Laredo, TX 78040-4647

Phone

(956) 722-5162

Fax

(956) 722-0676

NPI assigned

Nov 19, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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.

• Gateway Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Laredo, TX
  • NPI 1720192792
  Medicare reassignment NPD
• Gateway Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Laredo, TX
  • NPI 1891660759
  NPD
• Gateway Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Zapata, TX
  • NPI 1629271648
  NPD
• Gateway Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Laredo, TX
  • NPI 1255376976
  NPD (past)

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416355200000",
    "number": "1851798896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 LOGAN AVE",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780404647",
            "telephone_number": "956-722-5162",
            "fax_number": "956-722-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 LOGAN AVE",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780404647",
            "telephone_number": "956-722-5162",
            "fax_number": "956-722-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLARREAL",
        "first_name": "DIANA",
        "middle_name": "E",
        "credential": "RN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-19",
        "last_updated": "2014-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "789378",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP126931",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP126931",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Arturo Villarreal, RPH.
• Celina I Villarreal, B.S., SLP ASSISTANT
• Christian Margaret Villarreal
• Cristina Villarreal, FNP
• Deyanira Villarreal, RN
• Eva M Villarreal
• Hector Villarreal Jr.
• Jacqueline Villarreal
• Joaquin Jose Villarreal, LAT
• Juan Villarreal, PTA

• Pediatric Nurse Practitioner in Laredo, TX
• Providers in Laredo, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.