Active NPI
Bettina Ritzi Lopez Cordova, FNP
- Psychiatric/Mental Health Nurse Practitioner
- El Paso, TX
National Provider Identifier
1992204853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP136945
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP-03455 | NM | MD | Family Nurse Practitioner |
| AP136945 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nke New Leaf LLC | Current | Accepting new patients | |
| Leal Behavioral Health LLC | Psychiatric/Mental Health | Current | 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.
-
- Professional Counselor
- El Paso, TX
- NPI 1366796724
-
- Psychiatric/Mental Health Nurse Practitioner
- El Paso, TX
- NPI 1356085674
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.