Individual provider Active NPI

Alexandra Jordan, NP

  • Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1962422097
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
658804 Issued in TX
Practice address
4417 Tetons Drive
El Paso, TX 79904
Phone
(915) 751-0908
Fax
(915) 757-3698
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 658804 TX Primary

Addresses

Primary practice location

4417 Tetons Drive
El Paso, TX 79904

Mailing address

7336 Skyrocket Dr
El Paso, TX 79911-3117
Phone (915) 526-0544

Other identifiers 3

IdentifierTypeStateIssuer
00149168OtherTXDPS#
658804OtherTXSTATE LICENSE
06965OtherTXPRESCRIPTION ID#

Other names 1

  • Alexandra Del Hierro Former name

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
658804TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso Physician Group PA Nurse Practitioner Past Accepting new patients
Wainwright Family Resource Center Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1962422097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7336 SKYROCKET DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799113117",
            "telephone_number": "915-526-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4417 TETONS DRIVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79904",
            "telephone_number": "915-751-0908",
            "fax_number": "915-757-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "ALEXANDRA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "658804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS#",
            "identifier": "00149168",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "658804",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESCRIPTION ID#",
            "identifier": "06965",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "DEL HIERRO",
            "credential": "ALEXANDRA CHAVEZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.