Eric Contreras, AGNP-C

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

1115630 Issued in TX

Practice address

629 Kamali Dr
Harlingen, TX 78550-0016

Phone

(956) 425-7800

Fax

(956) 425-7801

NPI assigned

May 3, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

Nurse Practitioner

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.

• Dr Luis Reynoso PA

  • Internal Medicine Physician
  • Harlingen, TX
  • NPI 1689813693
  Medicare reassignment NPD

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1881383040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 KAMALI DR",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785500016",
            "telephone_number": "956-425-7800",
            "fax_number": "956-425-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 KAMALI DR",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785500016",
            "telephone_number": "956-425-7800",
            "fax_number": "956-425-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTRERAS",
        "first_name": "ERIC",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1115630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremiah David Conde, RN
• Eric Jonathan Connor, LVN
• Janet Eileen Constance, PH.D.
• Consuelo Garza
• Continuum Home Health Care,Inc.
• Flor Contreras
• Jose Trinidad Contreras, LVN
• Coogs Investments LTD
• Carrie Holt Cook, LVN
• Corazon del Valle DME LLC

• Gerontology Nurse Practitioner in Harlingen, TX
• Providers in Harlingen, TX by specialty
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.