Blum Health PLLC

Key facts

NPI

1891392437

Entity type

Organization (NPI type 2)

Primary specialty

Primary Care Clinic/Center 261QP2300X

Legal business name

BLUM HEALTH PLLC

Practice address

600 Sunland Park Dr Ste 1-400
El Paso, TX 79912-5135

Phone

(915) 490-7491

NPI assigned

Oct 6, 2020

Organization subpart

No

Authorized official

Name

Laura Alcantar, FNP NPI 1417346693

Title

FNP

Phone

(915) 490-7491

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura Alcantar, FNP-C Family Nurse Practitioner · El Paso, TX · NPI 1417346693
  Medicare reassignment NPD Authorized official TX
• Ramona Baeza, FNP-C Family Nurse Practitioner · El Paso, TX · NPI 1689002180
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in TX

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 9, 2023.

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1891392437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11988 PASEO DEL REY DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799363787",
            "telephone_number": "915-490-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SUNLAND PARK DR STE 1-400",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125135",
            "telephone_number": "915-490-7491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUM HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-06",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "ALCANTAR",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "915-490-7491",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1417346693",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1811367220",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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