Individual provider Active NPI

Lourdes Vargas-Cobos, N.P

  • Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1922410950
Registry record updated Jul 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP125654 Issued in TX
Practice address
12135 Montwood Dr Ste 114-115
El Paso, TX 79936-4573
Phone
(915) 225-0600
NPI assigned
May 26, 2014
Last updated
Jul 8, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP125654 TX Primary

Addresses

Primary practice location

12135 Montwood Dr Ste 114-115
El Paso, TX 79936-4573

Mailing address

11899 David Forti Dr
El Paso, TX 79936-2648
Phone (915) 857-3529

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20180822000428 NM Practitioner - Nurse Practitioner 7214220409 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP125654TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PHC-Las Cruces Inc Nurse Practitioner CurrentSince Jul 9, 2018 Accepting new patients
Texan Urgent Care PLLC CurrentSince May 14, 2022 Accepting new patients
PHC Las Cruces Inc CurrentSince Jul 9, 2018 Accepting new patients
PHC Las Cruces Past Accepting new patients

Locations

2450 S Telshor Blvd
Ste B
Las Cruces, NM 88011
Phone (575) 556-5800

2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641

2530 S Telshor Blvd
Ste 107
Las Cruces, NM 88011
Phone (575) 556-6440

9100 Viscount Blvd
El Paso, TX 79925
Phone (915) 594-4475

12371 Edgemere Blvd
#207209
El Paso, TX 79938
Phone (915) 856-0008

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1401062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467936000000",
    "number": "1922410950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11899 DAVID FORTI DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799362648",
            "telephone_number": "915-857-3529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12135 MONTWOOD DR STE 114-115",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364573",
            "telephone_number": "915-225-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS-COBOS",
        "first_name": "LOURDES",
        "credential": "N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-26",
        "last_updated": "2016-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP125654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.