Individual provider Active NPI

Jade Gabriela Cerda, FNP-C

  • Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1982209730
Registry record updated Mar 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1156306 Issued in TX
Practice address
1600 Medical Center Dr Ste 101
El Paso, TX 79902-5008
Phone
(915) 544-1350
NPI assigned
Dec 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 958988 TX
Nurse Practitioner 363L00000X 1156306 TX Primary

Addresses

Primary practice location

1600 Medical Center Dr Ste 101
El Paso, TX 79902-5008

Mailing address

1600 Medical Center Dr Ste 101
El Paso, TX 79902-5008
Phone (915) 544-1350

Other practice location 1

120 Paragon Ln Ste 218
El Paso, TX 79912-6317
Phone (915) 213-1289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240628003622 TX Practitioner - Nurse Practitioner 3274077334 Reassigns benefits to 1 organization
I20251024001750 NM Practitioner - Nurse Practitioner 3274077334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1580 Appaloosa Dr
Suite C310
Sunland Park, NM 88063-9082

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
958988TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Viva Health CurrentSince Sep 29, 2025 Accepting new patients
Southwest Ear Nose & Throat Consultants PA CurrentSince May 1, 2024 Accepting new patients

Locations

1580 Appaloosa Dr
Ste C310
Sunland Park, NM 88063
Phone (575) 332-9086

1600 Medical Center Dr
Ste 101
El Paso, TX 79902
Phone (915) 544-1350

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23243/brand/1/csg/1/fhir/r4

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": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711756800000",
    "number": "1982209730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL CENTER DR STE 101",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025008",
            "telephone_number": "915-544-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL CENTER DR STE 101",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025008",
            "telephone_number": "915-544-1350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Paragon Ln Ste 218",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799126317",
            "country_code": "US",
            "telephone_number": "915-213-1289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CERDA",
        "first_name": "JADE",
        "middle_name": "GABRIELA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2024-03-30",
        "certification_date": "2024-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "958988",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1156306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.