Individual provider Active NPI

Rayleigh Enriquez, LVN

  • Licensed Vocational Nurse
  • Grand Prairie, TX
National Provider Identifier
1942043393
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
1132217 Issued in TX
Practice address
2100 N Hwy 360 Ste 1904
Grand Prairie, TX 75050-1040
Phone
(469) 460-7090
NPI assigned
Jun 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 1132217 TX Primary

Addresses

Primary practice location

2100 N Hwy 360 Ste 1904
Grand Prairie, TX 75050-1040

Mailing address

3016 Post Oak Dr
Euless, TX 76039-7849
Phone (903) 517-2439

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1132217TXMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
TX Otp, LLC CurrentSince Jun 16, 2024 Accepting new patients

Locations

2100 N Highway
Ste 1904
Grand Prairie, TX 75050
Phone (469) 460-7090

Organizations & group practices 1

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": "1718323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1942043393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3016 POST OAK DR",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760397849",
            "telephone_number": "903-517-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N HWY 360 STE 1904",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750501040",
            "telephone_number": "469-460-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENRIQUEZ",
        "first_name": "RAYLEIGH",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "1132217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.