Individual provider Active NPI

Jacqueline Desiree Parada, FNP-C

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1861275158
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1127766 Issued in TX
Practice address
6955 N Mesa St Ste 108
El Paso, TX 79912-4424
Phone
(915) 307-9697
NPI assigned
Aug 18, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 1127766 TX
Family Nurse Practitioner 363LF0000X 1127766 TX Primary

Addresses

Primary practice location

6955 N Mesa St Ste 108
El Paso, TX 79912-4424

Mailing address

6955 N Mesa St Ste 108
El Paso, TX 79912-4424
Phone (915) 307-9697

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
I20260224000833 TX Practitioner - Nurse Practitioner 8527549070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8717 Hopewell Dr
El Paso, TX 79925-2609

PO Box
Suite 371651
El Paso, TX 79937

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1127766TXMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thyroid & Testosterone Wellness Center CurrentSince Jan 17, 2026 Accepting new patients
Edgar Reyna, MD, PA PastSince Jan 17, 2026 Accepting new patients

Locations

6955 N Mesa St
Ste 108
El Paso, TX 79912
Phone (915) 307-9697

601 Sunland Park Dr
Ste 61
El Paso, TX 79912
Phone (915) 855-7000

601 Sunland Park Dr
Ste 6
El Paso, TX 79912
Phone (915) 544-1360

Organizations & group practices 2

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": "1692316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1861275158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6955 N MESA ST STE 108",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799124424",
            "telephone_number": "915-307-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6955 N MESA ST STE 108",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799124424",
            "telephone_number": "915-307-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARADA",
        "first_name": "JACQUELINE",
        "middle_name": "DESIREE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-18",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "1127766",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1127766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.