Active NPI
Irma A Lara, RNFNP
- Family Nurse Practitioner
- Laredo, TX
National Provider Identifier
1992914691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 502460
- Practice address
- 1515 Pappas St
Laredo, TX 78041-1705 - Phone
- (956) 795-8100
- NPI assigned
- May 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 502460 | TX | Primary |
Addresses
Primary practice location
1515 Pappas St
Laredo, TX 78041-1705
Mailing address
8708 Puerto Marques
Laredo, TX 78045-6213
Phone (956) 724-1104
Other practice location 1
1020 Corpus Christi St
Laredo, TX 78040-5208
Phone (956) 722-8485
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 502460 | Other | TX | BNE ADVANCE PRACTICE LICE |
Other names 1
- Irma A Reyna
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
| License | State | Type | Specialty |
|---|---|---|---|
| 502460 | TX | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632268800000",
"number": "1992914691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8708 PUERTO MARQUES",
"city": "LAREDO",
"state": "TX",
"postal_code": "780456213",
"telephone_number": "956-724-1104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 PAPPAS ST",
"city": "LAREDO",
"state": "TX",
"postal_code": "780411705",
"telephone_number": "956-795-8100"
}
],
"practiceLocations": [
{
"address_1": "1020 Corpus Christi St",
"address_purpose": "LOCATION",
"city": "Laredo",
"state": "TX",
"postal_code": "780405208",
"country_code": "US",
"telephone_number": "956-722-8485",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LARA",
"first_name": "IRMA",
"middle_name": "A",
"credential": "RNFNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2021-09-22",
"certification_date": "2021-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "502460",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BNE ADVANCE PRACTICE LICE",
"identifier": "502460",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "IRMA",
"last_name": "REYNA",
"middle_name": "A",
"credential": "RNFNP",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.