Individual provider Active NPI

Juanita Parra, FNP

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1972104347
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1017500 Issued in TX
Practice address
3017 Trawood Dr
El Paso, TX 79936-4330
Phone
(915) 855-2005
Fax
(915) 855-8400
NPI assigned
Nov 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1017500 TX Primary

Addresses

Primary practice location

3017 Trawood Dr
El Paso, TX 79936-4330

Mailing address

3017 Trawood Dr
El Paso, TX 79936-4330
Phone (915) 855-2005

Other identifiers 1

IdentifierTypeStateIssuer
1346231941OtherNPI

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL soap

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
1017500TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Guillermo Parra M.D.P.a. PastSince Nov 8, 2020 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1972104347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3017 TRAWOOD DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364330",
            "telephone_number": "915-855-2005",
            "fax_number": "915-855-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3017 TRAWOOD DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364330",
            "telephone_number": "915-855-2005",
            "fax_number": "915-855-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRA",
        "first_name": "JUANITA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1017500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1346231941",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "soap",
            "affiliation": "N",
            "endpointDescription": "office",
            "address_1": "3017 Trawood Dr",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799364330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Nov 5, 2020; 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.