Individual provider Active NPI

Bettina Ritzi Lopez Cordova, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1992204853
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP136945 Issued in TX
Practice address
7430 Remcon Cir BLDG a
El Paso, TX 79912-3519
Phone
(915) 584-0051
Fax
(915) 833-1114
NPI assigned
Feb 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP136945 TX
Family Nurse Practitioner 363LF0000X CNP-03455 NM
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP136945 TX Primary

Addresses

Primary practice location

7430 Remcon Cir BLDG a
El Paso, TX 79912-3519

Mailing address

7430 Remcon Cir BLDG a
El Paso, TX 79912-3519
Phone (915) 584-0051

Other practice location 1

1501 10th St
Alamogordo, NM 88310-5044
Phone (575) 434-2960

Other names 1

  • Mrs. Bettina Lopez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190823000965 TX Practitioner - Nurse Practitioner 4082942420 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP-03455NMMDFamily Nurse Practitioner
AP136945TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nke New Leaf LLC CurrentSince Aug 1, 2023 Accepting new patients
Leal Behavioral Health LLC Psychiatric/Mental Health CurrentSince Apr 1, 2022 Accepting new patients

Locations

10921 Pellicano Dr
Ste 110
El Paso, TX 79935
Phone (915) 313-4114

9440 Viscount Blvd
Ste 100
El Paso, TX 79925
Phone (915) 249-6639

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": "1517875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1992204853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7430 REMCON CIR BLDG A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799123519",
            "telephone_number": "915-584-0051",
            "fax_number": "915-833-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7430 REMCON CIR BLDG A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799123519",
            "telephone_number": "915-584-0051",
            "fax_number": "915-833-1114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 10th St",
            "address_purpose": "LOCATION",
            "city": "Alamogordo",
            "state": "NM",
            "postal_code": "883105044",
            "country_code": "US",
            "telephone_number": "575-434-2960",
            "fax_number": "575-434-8724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ CORDOVA",
        "first_name": "BETTINA",
        "middle_name": "RITZI",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-06",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP136945",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-03455",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP136945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETTINA",
            "last_name": "LOPEZ",
            "prefix": "MRS.",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.