Individual provider Active NPI

Priscilla Yanez, FNP-C

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1881272375
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1033440 Issued in TX
Practice address
4875 Maxwell Ave
El Paso, TX 79904-1559
Phone
(915) 533-7057
Fax
(915) 757-1640
NPI assigned
Mar 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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 1033440 TX Primary

Addresses

Primary practice location

4875 Maxwell Ave
El Paso, TX 79904-1559

Mailing address

4875 Maxwell Ave
El Paso, TX 79904-1559
Phone (915) 533-7057

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
I20210512002840 TX Order and Referring Only - Nurse Practitioner 2062821507

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1033440TXMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: priscilla.yanez.1@29786.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1881272375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4875 MAXWELL AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799041559",
            "telephone_number": "915-533-7057",
            "fax_number": "915-757-1640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4875 MAXWELL AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799041559",
            "telephone_number": "915-533-7057",
            "fax_number": "915-757-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANEZ",
        "first_name": "PRISCILLA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1033440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.